Nursing Matters September 2014

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Nursingmatters September 2014

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Volume 25, Number 9

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InsIde: Cooper Hall will provide UW-sOn with ‘a sense of place’

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susan Zahner appointed associate dean for academic affairs

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Alice simonds, 1921-1998, was ahead of her time with media, technology

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Right place, right time, right skills: Two UW Health employees save a life on camping trip By Emily Kumlein

RIO – The light was fading a recent Friday night as Deb Brausen and Tracy Weber were settling in to enjoy their camping trip at Silver Springs in Rio. But at 8:30 p.m., they heard cries for help from the neighboring campsite. Brausen, the recently-appointed vice president of UW Health specialty care clinics, and Tracy Weber, a nurse in general surgery at UW Health, were in the right place at the right time. And they knew exactly what to do. The sound led them to find 48-year-old Tammy Schroeder of Caledonia, lying on the ground, with no pulse. She had fallen while carrying firewood. They immediately began CPR and told the family to call 911. “It felt like second nature. I have been a nurse since 1990. You have to do CPR in the hospital, but this was the first time we had ever done CPR in the field. We could see the life going out of her eyes. We had to keep her alive,” Brausen recalled. The campsite had purchased an automated external defibrillator, AED, just two weeks ago and it was put to good use right away. “It was getting dark out, so the families used their cell phones to give us light as we shocked her,” Weber said. They shocked her four times but she never got a stable pulse. When the EMS arrived 15 minutes after

Deb Brausen, VP of UW Health specialty care clinics, and Tracy Weber, a UW Health nurse, were on a campout when they wound up saving the life of a woman who had fallen.

PHOTO COURTESY UW HEALTH

CPR started, they were able to get a pulse. She was rushed to Divine Savior Healthcare in Portage. Once she was stabilized, they transferred her to UW Hospital. The next day, the family told Brausen and Weber that she was in stable condition and expected to make a full recovery. They were extremely thankful for the lifesaving measures. “I don’t remember anything about that night; I did not wake up until Saturday when I was at UW Hospital. I know I would not be alive without them,” said Schroeder, who has a pacemaker. Brausen and Weber credit the yearly training at UW Health. “It is

remarkable how calm we felt. It’s really a feather in the cap of UW Health for all the time, energy and resources they put into their training. I’m a director now, but I still felt prepared,” said Brausen. “We have to get recertified in CPR every other year and then we have training exercises the other years that really keep us prepared,” said Weber. In a case where seconds matter, everyone was grateful this story had a happy ending. “If it had to happen, I am glad it happened with two trained medical professionals right next door,” said Brausen.Q


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Nursingmatters Nursingmatters is published monthly by Capital Newspapers. Editorial and business offices are located at

1901 Fish Hatchery Road, Madison, WI 53713 FAX 608-250-4155 Send change of address information to: Nursingmatters 1901 Fish Hatchery Rd. Madison, WI 53713 Editor ......................................... Kaye Lillesand, MSN ÂŹsÂŹKAYELILLESAND GMAIL COM Managing Editor ......................Teresa Bryan Peneguy ÂŹsÂŹTERESA PENEGUY MADISON COM Recruitment Sales Manager.................... Sheryl Barry ÂŹsÂŹSBARRY MADISON COM Art Director ....................................... Wendy McClure ÂŹsÂŹWMCCLURE MADISON COM Publications Division Manager............... Matt Meyers ÂŹsÂŹMMEYERS MADISON COM Nursingmatters is dedicated to supporting and fostering the growth of professional nursing. Your comments are encouraged and appreciated. Email EDITORIALÂŹSUBMISSIONSÂŹTOÂŹKLILLESAND SBCGLOBAL NET Call 608-252-6264 for advertising rates. %VERYÂŹPRECAUTIONÂŹISÂŹTAKENÂŹTOÂŹENSUREÂŹACCURACY ÂŹBUTÂŹ 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 CANNOTÂŹGUARANTEEÂŹTHEÂŹSAFETYÂŹOFÂŹARTWORK ÂŹPHOTOgraphs 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 "AIRD#ONSULTING )NC &ORT!TKINSON 7) 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 -ILWAUKEE 7) Cynthia Wheeler Retired NuRSINGmatters Advertising Executive, Madison, WI Deanna Blanchard, MSN Nursing Education Specialist at uW Health Oregon, WI Claire Meisenheimer, RN, Ph.D. 0ROFESSOR 57 /SHKOSH#OLLEGEOF.URSING /SHKOSH 7) Steve Ohly, ANP Community Health Program Manager 3T ,UKES-ADISON3TREET/UTREACH#LINIC -ILWAUKEE 7) 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 Š 2014 Capital Newspapers

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Food for Contemplation By Kaye Lillesand, MSN

I recently came upon two quotes that really started me thinking. No, more than thinking – I was contemplating! I just had Kaye Lillesand to share them with you because they both are so applicable to nurses and nursing. The first is from Maya Angelou: “Success is liking yourself, liking what you do, and liking how you do it.� While I was ruminating over this

NM

EDITORIAL one, I came across the second quote, from Vern Swaback, AIA. Vern is a dear friend-architect-philosopher! It is entitled “A Worthy Thought...� “What we call imagination is deeply linked to what we consider beautiful. People who hate their work or fear it, are bored by it or treat it merely as an obligation, are not likely to be very imaginative about what they do. What liberates the imagination is the sense

that work in its theory and practice holds aesthetic possibilities, that jobs can be elegantly conceived and gracefully done. This sense of beauty unlocks feelings of pleasure and love that break down the barrier between worker and work and commit to work, not merely the ‘thinking’ consciousness but the full resources of mind.� Ponder, reflect, meditate, mull over and please let me know your thoughts.

Bowers honored for mentoring minority students founding director of the University The Gerontological Society of Wisconsin–Madison School of of America (GSA) has awarded Nursing Center for Aging Research Barbara Bowers – Ph.D., RN, and Education (CARE). FAAN, and associate dean for Known worldwide research and sponfor her research in sored programs at the long-term care, Bowers University of Wisconsinfocuses on developMadison School of ment of public policies Nursing – the 2014 Task and work processes Force on Minority Issues that influence qualin Gerontology (TFMIG) ity of care and quality Outstanding Mentorship of life for frail older Award. adults in both comBowers will receive munity and residential the award at GSA’s settings. She is a noted 67th Annual Scientific expert on the retenMeeting to be held Barbara Bowers, Ph.D., RN, tion of nursing home held Nov, 5 to 9 p.m. in FAAN, was nominated for staff, the relationship Washington, D.C. The the Outstanding Mentorbetween work practices award honors individuship Award by Barbara and care quality, and als who exemplify an King, Ph.D., APRN-BC, asthe development of outstanding commitment sistant professor of nursing; Ju Young Yoon, Ph.D., new care models. As and dedication to mennoteworthy, her guidtoring minority research- RN, assistant professor of nursing; and Gilmoreance as a mentor has ers in the field of aging. Bykovskyi and Lor. provided countless Bowers, the school’s students with a wellCharlotte Jane and Ralph rounded graduate experience. A. Rodefer Chair and the Helen “Dr. Bowers stands out even Denne Schulte Professor of Nursing, among the most dedicated and dilialso serves as director of education, gent of mentors by virtue of her tirecommunity, and academic partnerless drive to build opportunities for ships at the Institute for Clinical and her trainees and her steady dedicaTranslational Research (ICTR) at tion of time, energy, and resources UW-Madison and holds an adjunct to support those opportunities,� professor appointment at Australian wrote Andrea Gilmore-Bykovskyi, Catholic University. She is the

Ph.D.’14, RN, the National Hartford Centers of Gerontological Nursing Excellence (NHCGNE) Claire M. Fagin Postdoctoral Fellow, and one of the individuals who nominated Bowers for the award. “I am one of many students of color whom Dr. Bowers has mentored, and I believe that the high level of success and scholarship demonstrated by her mentees is the ultimate testimony to her dedication and commitment.� “Dr. Bowers has opened doors for me, encouraging me to soar academically to reach heights that she knew I could reach before I did,� wrote doctoral student Maichou Lor, MS’12, RN, an NHCGNE Patricia G. Archbold Scholar who also nominated Bowers. “She challenges her students to surpass their comfort zones in search of academic excellence that is done not for the glory of the individual student, but for the advancement of science.� The GSA, of which Bowers is a fellow, is the nation’s oldest and largest interdisciplinary organization devoted to research, education, and practice in the field of aging. Its principal mission is to advance the study of aging and disseminate information among scientists, decision makers, and the general public.Q –Kathleen Corbett Freimuth


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The Wisconsin Nursing Workforce: Improve retention of new nurses Welcome to the seventh in “The Wisconsin Nursing Workforce: Status and Recommendations.” Each article contains a unique issue in Wisconsin with recommendations and strategies to address it. The relevant key message from the Institute of Medicine Future of Nursing Report (2011) is also included. Consider actions your organization can take to address these issues to avoid a future nursing workforce shortage in our state.

IOM REPORT KEY MESSAGE Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression toward 80 percent of workforce with BSNs and double the number of nurses at the doctoral level by 2020.

WISCONSIN ISSUE Turnover among new graduates is higher than turnover of experienced RNs. Retention of new graduates is essential to assure an adequate workforce, improve patient safety, and decrease health care costs.

RECOMMENDATION Implement best practice strategies for nurse residency programs in health care systems and other venues to decrease turnover and ease transition to practice, in an effort to retain and recruit new graduates. Strategies: 1. Implement nurse residency programs for all new RN graduates and across all venues of practice. 2. Establish a standardized mechanism to monitor new graduate turnover. 3. Expand foundation support for nurse residency programs. Turnover and retention of nursing staff is a significant issue which impacts the quality, patient safety and financial costs of care. Nursing orientation costs an estimated $40,000–$64,000 per nurse. In addition to orientation costs, turnover costs include marketing and recruitment expenses, salaries for overtime

and/or external staffing resources to cover clinical staffing needs, and the potential effect on customer satisfaction scores. Nursing turnover has been estimated to cost 75 percent to 125 percent of the average annual nursing salary. Turnover of new graduates in the practice setting is often significantly higher in the first three years of practice with reported rates between 18 to 50 percent. A report by the U.S. Department of Health and Human Services (2010) indicates that 40 percent of new graduates had intent to leave their current position within three years, with 22 percent that changed positions or employers. Job stress, poor management and inadequate staffing are frequently cited as reasons for turnover. The IOM report recommends the implementation and evaluation of residency programs to decrease turnover and ease the transition into practice. Given the future gap of nurses it will be important to implement significant strategies to improve retention and decrease turnover of new graduates. The federally-funded Wisconsin Nurse Residency Program (WNRP) and the SOAR-RN Rural Nurse Residency Program, first offered in 2005, are national exemplars. Involving more than 60 hospitals, these programs address the professional socialization needs of newly licensed nurses in urban and rural areas with ongoing research of program outcomes. Participating organizations have experienced an average two-year new graduate retention rate of 83 percent. In addition, the UHC/AACN Post-Baccalaureate Nurse Residency ProgramTM implemented at the University of Wisconsin Hospital and Clinics is recognized as an exemplary program by the Magnet® Commission and accredited by the Commission on Collegiate Nursing Education. Residency programs have been

shown to be an effective strategy to decrease turnover and ease transition into practice. These programs show great potential to increase nurse retention if expanded to all clinical sites with rapid adoption and sharing of best practice strategies. The complete report is available for free download at http://www. wisconsincenterfornursing.org/workforce_report.html.

Watch for upcoming articles in this series, “Redesign Health Care Delivery,” in the October issue of Nursingmatters.Q Submitted by Yvonne Eide, MS, RN, WCN Board of Directors, and Judith Hansen, MS, BSN, WCN Executive Director.

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Signe Skott Cooper Hall: Honoring the school’s legacy, embracing its future When Signe Skott Cooper Hall opens for the fall semester 2014, the University of Wisconsin-Madison School of Nursing will have green space to call its own. “It’s a very important aspect to the future of this amazing school,” says Dean Katharyn A. May. “For the first time in 50 years, this school has a sense of place – a sense of ownership and pride among students, faculty, staff and alumni.” Green space means the culmination of the dream to build Signe Skott Cooper Hall; it also signifies the healing philosophy upon which Cooper Hall was built. “Nursing, as a discipline, acknowledges the relationship between human health and the natural world,” May says. “Florence Nightingale, the founder of modern nursing, understood this. ‘It is the nurses’ foremost responsibility to put patients in the best possible position for nature to work her healing art,’ Nightengale told her students. Cooper Hall reflects Nightingale’s belief, now supported by scientific evidence, that human health and well-being are enhanced by natural light, access to the outdoors, and environments that support a sense of connectedness.” The School of Nursing, by way of Cooper Hall, has positioned itself for what May calls “a boundless future.” Cooper Hall embraces the principles and values that the School of Nursing has held throughout its long history centered on research and innovation, outreach, service, collaboration and leadership in education. “Indeed, these values, while not unique to the School of Nursing, continue to influence the work of its faculty, staff, students, and graduates,” May says. May points to research and innovation. “Over its long history, the School of Nursing has fostered leadership in science, education, and practice,” May says. “Dean Helen Bunge, the school’s first dean, established the very first research journal for nursing, Nursing Research, which continues to be the gold stan-

Signe Skott Cooper Hall at the UW-Madison School of Nursing. PHOTO BY CHRIS FRAZEE/UWSMPH MEDIA SOLUTIONS

dard. Today, the digital age drives nursing’s discovery enterprise. Manifest in the design of Cooper Hall is the notion that nursing must push past conventional thinking to remove the barriers to person- and family-centered care.” Another core value, leadership in nursing education, stems from a long tradition of nursing leaders at Wisconsin who have moved the field forward. “Signe Skott Cooper was first and foremost an innovative teacher,” says May, “using radio as a way to deliver nursing education to remote places in Wisconsin. Over time, faculty continually has sought new ways to teach nursing to undergraduates. Cooper Hall provides students with learning opportunities to study person-centered care from inspired educators knowledgeable about consumer-health technologies.” Enter the Center for TechnologyEnhanced Nursing, or CTEN. May calls this second-floor area “the place to hear the heartbeat of clinical instruction.” CTEN’s environments – hospital, clinic, home and eHealth digital technologies that allow interaction to transcend time and space – provide students with the opportunity to immerse themselves in the challenges of the continuum of care sequence.

In tandem with CTEN’s learning environments, Cooper Hall’s active learning classrooms (ALCs) offer students and faculty the best available tools for engaging, team-based, interactive, problem-based learning. “We have to talk about collaboration very specifically as a critical competency in health care today,” May says. “Understanding the relationship of high-performance teamwork and safety adds yet another dimension to nursing in the Cooper Hall era. “High-performance teamwork among nurses, physicians, pharmacists, other health professionals, and family members is necessary in this complex health care system, not only to improve outcomes, but also to prevent harm,” May says. “Because the School of Nursing is part of one of the world’s great universities, nursing at Wisconsin has always capitalized on partnerships in research, service, and education across a wide array of fields. Now, Cooper Hall is equipped for this dynamic.” The school’s core value of engagement and outreach is inextricably connected to the Wisconsin Idea. Since its founding in 1924, the School of Nursing has built a legacy of excellence shaped by this principle that the university should

improve people’s lives beyond the classroom. “From Signe Skott Cooper’s traveling to remote places in Wisconsin to provide nurses with continuing education to today’s eHealth technologies,” May says, “we are committed to asking the questions, ‘What difference does it make that we do this?’ ‘Does it serve the people of the state, or the nation, or the world?’ The Wisconsin Idea drives so much of what happens here at the University of Wisconsin-Madison.” Service – serving the common good – is part of nursing’s genetic code, May says, as evidenced in Nightingale’s legacy. “She was one of the world’s first biostatisticians, pacing through the wards in the Crimean army hospitals at night, not just administering, but also counting the dying and the dead to understand the relationship between care practices, time of year, and battlefield deaths. She demonstrated clearly using this evidence that the practices of nursing increased the likelihood that the soldiers would survive their wounds in contrast to traditional practices that doomed many of them to a death,” May explains. “Today, our graduates reach across the globe to serve the health needs of populations – caring for the homeless in a respite care facility in Washington, D.C., providing primary care for orphaned children in Kenya, staffing disaster relief efforts in the slums of Haiti.” The UW has a tradition of educating the largest number of Peace Corps volunteers – more than anywhere in the country, May adds. Nursing has played its part in this effort. Cooper Hall ushers in a new era of possibility in nursing and health care at the University of WisconsinMadison, May says. “Its powerful story stretches behind us, and we use those inspirations as a way to take innovation and excellence forward. Nursing is primed to tackle the grand challenges, the wicked problems affecting human health.”Q –Kathleen Corbett Freimuth


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Zahner appointed associate dean for academic affairs but soon decided she would prefer Susan Zahner, DrPH, RN, FAAN, to be working “upstream” – that is, Vilas Distinguished Achievement addressing the causes of disease and Professor and professor of nursdisability through prevention rather ing, was appointed associate dean than treatment. She took a public for academic affairs in June. A fachealth position in rural Minnesota, ulty member with the University confirming her interest in the field of Wisconsin-Madison School of and allowing herself the opportunity Nursing for 14 years, Zahner began to realize her own aptitude in manher new position after returning from agement. a yearlong sabbatical After receiving a focused on academicmaster’s degree in practice partnerships, public health from academic leadership, the University of and quality improveMinnesota, Zahner ment in public health worked in a refugee and public health camp in Thailand nursing. and then moved to The position, Madison, where she Zahner says, allows took a position in the her to apply her previcity’s public health ous experience – and department, eventupassion – to manageally becoming the ment and process improvement to benSusan Zahner, Ph.D., RN, FAAN department’s director of nursing. She later efit the organization enrolled at University as a whole, rather of California Berkeley, earning a than just her own research program. doctorate in public health. “It’s an exciting time in the life of Though Zahner was unfamilthe school with the development of a iar at the time with the Wisconsin new strategic plan and the opening of Idea, the concept of improving lives Signe Skott Cooper Hall,” she says, beyond the classroom began to ger“and I am eager to help the school minate in her practice as a doctoral move forward.” student; her dissertation project Zahner grew up on a farm in Iowa provided research that proved benwith seven brothers and sisters and eficial to public health in the state the clear parental expectation that of California. In 2000, she returned each of them would attend college. to Wisconsin as a faculty member An interest in health care and science with the UW-Madison School of led her to the nursing program at the Nursing and continued her commitUniversity of Iowa, where she disment to the Wisconsin Idea through covered a passion for public health. the LEAP project (Linking Education She began her nursing career as a and Practice for Excellence in Public post-surgical nurse at St. Joseph’s Health Nursing) and the developHospital in Marshfield, Wisconsin, Delivering Patient and Dementia Family-Centered Care Summit Satur Saturday, October 4, 2014 | 8-4:30 P.M. LOCATION: UW NURSING SCHOOL SIGNE SKOTT COOPER HALL, 701 HIGHLAND AVE, MADISON, WI COST: $25 (UWHC AND NON-UWHC EMPLOYEES) - FEE INCLUDES FREE PARKING IN LOT 60 & LUNCH This summit, designed for RNs and patient care staff, will examine current practices in dementia care and promote best practices in assessment, communication and care for patients with dementia and their families. Presented by: University of Wisconsin-Madison Center for Aging Research & Education, University of Wisconsin Hospital and Clinics,The University of Wisconsin-Madison School of Nursing, & The Madison City-Wide Educators Group

Contact hours will be awarded for this program. University of Wisconsin Hospital and Clinics is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Presenters: Sanjay Asthana, MD; Steve Barczi, MD; Carrie Bennett, MS, RN, GCNS-BC; Kristin Felten, MSW, APSW; Andrea L. Gilmore-Bykovskyi, PhD, RN; Kathleen Hoffland MSN, ANP-BC, APNP Planning Committee: Deanna Blanchard, MSN, RN-BC; Barbara Bowers, PhD, RN; Julie Christofferson, MSN, RN; Barbara J. King, PhD, RN; Pat Lukas, MSN, MHA, RN-BC; Suzanne Purvis, DNP, RN, GCNS-BC, Shelly VanDenBergh, MS, RN, GCNS-BC Registration available at https://www.uwhealth.org/onlineservices/classes/ - then click Nursing Education Questions contact: Education & Development for Nursing & Patient Care Services: 608-263-6490

ment of the Wisconsin Public Health Research Network. In both cases, Zahner says, “I feel an obligation to make sure that my work is guided by the needs and experience of public health practitioners in the state and can be used by them to help improve public health education and practice in Wisconsin and beyond.” Now, as associate dean for academic affairs, Zahner is responsible for the administrative structure of the school, including human resources, budget, information technology, and facilities. “It’s the scaffolding that supports academic and research programs.” In addition to overseeing the operational functions, Zahner will lead the strategic planning effort and help explore more extensive partnerships. Zahner begins her new position aware of the challenges ahead – from finding sufficient resources to maintain and grow education and research programs to extending partnerships with key organizations. Improving

communication about innovative research, new teaching methods, and diversity and equity initiatives is also essential, she says, so that “our faculty, staff, students, and alumni can take pride in our enterprise and contribute to it.” Anticipating what she would like to accomplish during her tenure as associate dean, Zahner sets the bar high. “I would like the school to have a strong strategic plan and direction and stronger partnerships with other important organizations that are productive for both parties. I want to see Cooper Hall as a resource that we manage not just for nursing, but for the campus. I’d like to see a lot more interprofessional education taking place and alumni excited about coming back. I’d love to see our research and education programs flourishing. I’ll be quite content if I can leave the position with the school in an even better position than it already is.”Q – Mary Anderson, UW-Madison SON Relations Specialist

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edUCATIOn MATTeRs september 2014 Sept./Oct.: Preventing and Managing Chronic Inflammation Special Focus: Nutritional Interventions Sept. 26: Madison Oct. 3: Brookfield Oct 10: Green Bay Institute for Brain Potential (866) 652-7414 or www.IBPCEU.com Sept. 11: Late-Life Depression UW- Madison Continuing Studies Madison (608) 262-2451 or continuingstudies. wisc.edu/certificates/mental healtholder-adult.html Sept. 18 & 19: Food Addiction, Obesity & Diabetes Sept. 18: Madison Sept. 19: Pewaukee Institute for Natural Resources (800) 937-6878 or www.INRseminars.com

Sept. 20: IV Therapy and Insertion Waukesha County Technical College Pewaukee (262) 691-5578 or www.wctc.edu Sept. 25: Geriatric Mental Health Care Management: An Introduction UW- Madison Continuing Studies Madison (608) 262-2451 or continuingstudies. wisc.edu/certificates/ mental healtholder-adult.html Oct. 4: Dementia Summit – Delivering Patient and FamilyCentered Care UW-Madison Center for Aging Research & Education, UW Hospitals & Clinics, UW-Madison School of Nursing, The Madison City Wide Education Group Madison http://www.uwhealth.org/onlineservices/classes. Click on Nursing Education

Nursingmatters

New e-book helps identify three common health care-associated infections American Sentinel University’s free e-book, “Are You Prepared to Identify and Prevent the Three Infections That Make Up Two-Thirds of All Healthcare Associated Infections?” is a go-to guide to help nurses minimize the occurrence of hospital-acquired infection (HAI) risk factors and details basic prevention measures that every nurse should know to help prevent infections. The e-book is available for download at americansentinel.edu (go to “blog,” top right; select “Health Care On Call,” at bottom click “older posts” three times; and select “Strong Nursing Leadership Is Essential to Reducing HAIs.” “As a nurse, it’s important to be sure to do all you can to prevent HAIs from happening to your patients and save your health care facility additional costs,” says Judy Burckhardt, Ph.D., MAEd, MSN, RN, dean, nursing programs at American Sentinel University. “This e-book is a great resource for nurses to review information about prevention of and interventions for HAIs.” The Center for Disease Control recognizes the important role that nurses play in minimizing the occurrence of HAIs and have included nursing-specific interventions in their guidelines.Q

Reprint in a series written by Signe Cooper and introduced by Laurie Glass in March Nursingmatters Serving on the faculty of the UW-Madison School of Nursing, Alice Simonds was an innovative teacher, an inspiration to her students, a role model and mentor to younger faculty members and a valued friend and colleague to her peers. Simonds was born May 23, 1921 in Newark, N. J. and relocated to Clintonville. She attended the Presbyterian Hospital School of Nursing in Chicago, and later received a B.S. degree from UW-Madison School of Nursing and a M.S. from Rochester University, Rochester, N.Y. She served with the Army Nurse Corps in 1945 and 1946. Two years later she came to Madison and was employed as a staff in the operating room at University Hospitals for 12 years. Working with students convinced her of the value of operating room experience in the nursing curriculum, a belief she continued to hold after joining the faculty of UW-Madison School of Nursing.

Reflections of our Heritage Signe Skott Cooper’s legacy Alice simonds, 1921-1998 plary and she Simonds used creative began teachapproaches to ing by superhelping stuvising students dents learn. in the operShe chalating room. lenged other Later she faculty memhelped design bers to use the school’s media in their Instructional teaching and Materials Alice Simonds, left, taught nursing students encouraged Center and by supervision over many decades. and assisted served as them in using various forms of coordinator/supervisor of its instructional technology. She television studio. consulted with faculty members She designed the first course from other schools of nursing, in in physical assessment and health Wisconsin and elsewhere, and with history to be offered by the school Nasco, a company in Fort Atkinson and adapted it for use off campus. that produces simulated teaching She developed numerous videocasmaterials. settes and slide-tape teaching units. Her teaching skills were exemSimonds received the Distinguished

Alumnus Award of the UW-Madison Nurses Alumni Organization in 1986. She retired in May of that year, after 22 years on the faculty, and was named emeritus clinical professor by the UW Board of Regents. A person of many interests, she enjoyed sailing on Madison’s lakes, downhill and cross-country skiing, classical music, reading and woodworking. She was a member of the Madison Civic Chorus for several years. Simonds died Dec.15, 1997, in a snowstorm-related accident. At her memorial service, School of Nursing Dean Vivian Littlefield noted that Simonds had “a vision that future instruction would take new forms and become more complex” – a prediction that has certainly come true. The Alice Simonds Center for Instruction and Research in the UW-Madison School of Nursing was dedicated on May 9, 1998. It is appropriate recognition for a dedicated nurse-teacher who believed that students could benefit from diverse technologies.Q


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Correctional Nursing, where caring and passion come together. We are currently recruiting for full time Nursing Supervisors to fill vacancies within the Wisconsin Department of Correctional Institution. Current Vacancy: Robert E. Ellsworth Correctional Center, located in Racine, WI. These positions supervise health care staff; develop procedures and techniques to assure that health care programs are functioning effectively; monitor off-site health providers; assure that health care plans are carried out in accordance with policies and procedures; provide liaison to institution staff, psychological services, social services, and other treatment programs to coordinate treatment plans, and work with the primary care physician, dentist, psychiatrist, serving as a consultant to provide quality health care. Salary - Nursing Supervisor: $84,862 to $104,000 annually, depending on qualifications. Current licensure is required. Excellent benefits package to include: immediate coverage under the Wisconsin Retirement System, Health Plans available to meet your needs at low premiums, Sick Leave, Unused sick time converted to extended health care benefits upon retirement, paid vacation, 4.5 personal days each year, paid legal holidays per year, Life insurance, Supplemental retirement saving program, and Worker’s compensation.

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ANCC, RNS announce first board certification in rheumatology nursing SILVER SPRING, Md. – The American Nurses Credentialing Center (ANCC) and the Rheumatology Nurses Society (RNS) today announced plans to develop a new board certification through portfolio for rheumatology nursing. Announced at the RNS Annual Conference in Louisville, Ky., the new certification program will be developed beginning in 2014 and is scheduled for launch in 2015. ANCC’s certification through portfolio is an alternative assessment method for credentialing individual registered nurses in their specialty area. Nurses document their skills, knowledge, abilities and career accomplishments as part of the application assessment process. Certification through port-

folio requires equivalent rigor as examinations to meet accrediting bodies’ criteria to determine proficiency through a peer review process informed by nurse experts. Nurses certified through the ANCC 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. ANCC incorporates the latest nursing practice standards, ensuring that nurses are credentialed using the most current criteria. ANCC’s experience with in-house test development using psychometric practices provides an excellent foundation for

the development of the rheumatology certification through portfolio. The ability to operationalize and administer individual credentialing programs is one of ANCC’s core competencies, and ANCC is the only nurse credentialing organization to achieve ISO 9001:2008 certification in the design, development and delivery of global credentialing services and support products for nurses and healthcare organizations. “Certification through portfolio is an excellent method for credentialing and will greatly serve the nursing profession as nurses’ knowledge grows ever more specialized. We look forward to a productive collaboration with RNS and its members, as ANCC aims to develop the first-ever certification in rheumatology nursing,”

said Executive Vice President and Chief ANCC Officer Linda C. Lewis, MSA, RN, NEA-BC, FACHE. “We are delighted and excited to endorse ANCC’s development of a board certification to recognize the passion, commitment and quality that rheumatology nurses bring to their practices and the care of their patients every day. As leaders in health care, rheumatology nurses continue to reach for excellence in professional development and nursing practice. ANCC board certification will provide a credible means for RNS members and all rheumatology nurses to validate their knowledge, engage in lifelong learning, and be recognized for their experience,” said Sheree C. Carter, Ph.D., RN, president of RNS.Q

Tluczek receives American Academy of Nursing’s highest honor genomics. I also hope my research Audrey Tluczek, Ph.D., RN, assowill continue to inform clinical pracciate professor at the University tices and public policy related to of Wisconsin-Madison School of newborn genetic screening.” Nursing, has been selected by the “Dr. Tluczek’s internationally recAmerican Academy of Nursing ognized work examines (AAN) as one of its family response to newClass of 2014 fellows. born screening for cysFellowship in the AAN tic fibrosis,” says Lori is highly selective and Anderson, Ph.D., RN, considered the highest assistant professor of honor in the nursing nursing whose research profession. focuses on children with Tluczek is among 168 chronic health condiesteemed nurse leadtions and their families. ers nationwide selected “It has led to an imporfor this honor. She tant shift in focus from and fellow colleagues will be inducted on Audrey Tluczek, Ph.D., RN the technical aspects of genetic screening to the Oct. 18 at the AAN’s psychosocial needs of 2014 Transforming Health, Driving Policy Conference in families,” she says. Early-on, as an advanced practice Washington, D.C. “It’s a great honor to be recognized nurse working with the parents of newborns screened for cystic fibrosis by such a highly respected group of (CF), Tluczek often saw the worry colleagues,” says Tluczek. “I hope and confusion that resulted from that my contributions will advance those AAN objectives focused on the genetic testing, inadequate explananursing care of children and families tions, and lack of psychological counseling. Today, as a nurse researcher affected by advances in genetics and

and psychologist with specialized genetics training, she has devoted her professional career to addressing critical knowledge gaps about newborn genetic screening (NBS) for CF. Tluczek focuses her research on ways to improve the process of translating genomic research to clinical practice in order to increase parental genetic knowledge, reduce parental anxiety, and enhance patient satisfaction with counseling. As such, her research is consistent with the AAN’s vision of transforming health care policy and practice. She continues to be the only researcher to document family psychosocial responses to specific NBS-related stressors and to apply the findings to improve family health services and psychosocial outcomes. “Families are wonderfully diverse structurally, culturally, and genetically,” Tluczek says. “Understanding the intersection of family dynamics, sociocultural environments, and genetic influences is critical to advancing evidence-based practice.” Summarizing Tluczek’s contribu-

tions to nursing and health care, AAN sponsor Janet Williams, Ph.D., RN, professor and chair of Behavioral and Social Science Research at the University of Iowa, wrote: “Dr. Tluczek’s proactive focus on the child and parental well-being has allowed clinicians, policy makers, parents, and researchers to build on her discoveries to reach for positive outcomes for children and their families.” The American Academy of Nursing (www.AANnet.org) serves the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The Academy’s more than 2,200 fellows are nursing’s most accomplished leaders in education, management, practice, and research. Academy fellows also have a responsibility to contribute their time and energies to the AAN and to engage with other health care leaders outside the academy in transforming America’s health care system.Q – Kathleen Corbett Freimuth


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