Nursingmatters October 2014
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Volume 25, Number 10
www.nursingmattersonline.com
InsIde: Wisconsin nursing Workforce: Health care delivery system needs redesign
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AnA publishes new book on home health nursing with essentials for all levels
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Mysterious Borderline Personality disorder is revealed through eyes of American Teen
PAID
MADISON WI PERMIT NO. 1723
PRST STD US POSTAGE
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WnA participates in Governor’s Healthcare Workforce Policy Academy Wisconsin is one of seven states selected to participate in the National Governor’s Association (NGA) Center for Best Practices Policy Academy. The NGA Policy Academy is providing support to Wisconsin in the development of a coordinated health care work force plan. The overall goal of “Building a Transformed Healthcare Workforce: Moving from Planning to Implementation” is to ensure that the health care work force can meet the needs of the people of Wisconsin into the foreseeable future. The Academy will focus on recognizing and anticipating changes in health care delivery and the future population in Wisconsin in order to design a delivery system capable of providing the highest quality care in the most efficient manner. The NGA Policy Academy is a highly interactive process meant to serve as a catalyst for policy change. Participating states work with experts within the NGA Center, other national experts, and peers to produce action plans based on research and the practical experience of state policymakers facing similar issues across the country. NGA Policy Academy success requires a substantial commitment on the part of state and core teams. By the end of the process, states will have developed and begun implementing an action plan. Past policy academies have resulted in executive orders, new legislation, changes in regulations, pilot programs, and the creation of formal working groups. As an invited member, WNA
WNA members working on the Governor’s Healthcare Workforce Policy Academy include, counterclockwise from center, Nancy Sugden, Assistant Dean UW School of Medicine and Public Health (her back to the camera); George Quinn, Wisconsin Hospital Association Senior Advisor; Debbie Rickelman, Vice President WHA Information Center; Nancy Nankieil, Wisconsin Medical Society Senior Vice President Quality; Gina DennikChampion, Wisconsin Nurses Association Executive Director; and Jodi Johnson , WHA Vice President Workforce and Clinical Practice.
attended the first meeting of the core team June 18 where they were provided with the background of Wisconsin’s proposal to the NGA and introduced to the process used for developing the planning strategy. Team members are participating in five Core Areas; each will have a vision statement, goals, objectives, strategies and outcome measures/
serves as part of the core team led by Senior Policy Advisor Jon Hoelter from the Office of Governor Scott Walker. The core team is comprised of state department agencies, associations representing health care professionals, providers, and education institutions. WNA President, Lea Acord RN, Ph.D. and WNA Executive Director, Gina DennikChampion MSN, RN, MSHA
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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 608-222-4774 • kayelillesand@gmail.com Managing Editor ......................Teresa Bryan Peneguy 608-250-4166 • teresa.peneguy@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 © 2014 Capital Newspapers
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How Ray Rice proves Freud wrong NM
By Gary L. Welton
As a 21st century data-driven psychologist, I find it difficult to invoke the name of Sigmund Freud. In fact, when trying to type his Gary Welton name, I misspelled it on my first three attempts. Some sort of slip, I guess. It has been suggested by some that Freud’s influence today is more noteworthy in the field of literature than in the field of psychology. As it turns out, many of his psychoanalytic ideas have not been supported by research data. One of his best-known concepts is that of catharsis. According to Freud, if people are given an opportunity to act out their pent-up frustrations, aggressions and violence in safe and protected environments, then their negative emotional energy will be reduced, and their overall behavior will be more positive in the other aspects of their lives. As the theory goes, watching violent television will help me to deal with my aggressive instincts and will facilitate a more positive interaction with my family, my co-workers, and my neighbors. Playing violent computer games will satisfy my violent urges, hence improving my real-world behavior. Catharsis continues to be a popular idea, but one that is not supported by the data. Instead, when people are given an opportunity to behave in a violent fashion (perhaps on the football field or in the boxing ring),
GUesT edITORIAL they learn and are reinforced for their violent responses; they tend to practice those violent behavior patterns in other aspects of their lives. The story of Ray Rice, recently of the Baltimore Ravens, is a case in point. The NFL is the target of societal angst, because the story is bringing to light the large number of domestic abuse cases that have received trivial (if any) attention by the league. The NFL seems to have been much more concerned with its public image than with upholding and supporting healthy societal norms and practices. If Freud had been right, you might think that because of Rice’s opportunity to release his aggressive instincts in the publicly accepted and popular head-to-head football clashes, his private behavior should be less violent. It’s just one anecdote, and a single case proves nothing, but the larger picture of behavior in the NFL suggests that violence on the football field is far too often reenacted in the players’ private lives. The media has also been covering the story of boxer Floyd Mayweather Jr., who may be the highest paid athlete today. Mayweather’s comments indicate that he thinks Rice’s problem is not that he punched out and abused his fiancée, but that he got caught. Even in boxing, it appears that the opportunity to release your aggression in the ring is not associ-
ated with a more peaceful lifestyle, as Mayweather has a long record of a troubled past. The violence in sports goes well beyond football and boxing. I think of the violent fan escapades that sometimes occur in European soccer stadiums. I think of violent celebrations following championship games. The problem is larger than just American football. For several years the NFL has been struggling with the issue of concussion-related injuries and the potential for long-term debilitating brain damage. Although these physical problems of the players are serious concerns that must be addressed, the NFL has failed to address the serious problem of domestic abuse, a problem that is far too prevalent in our society and among our athletes. These athletic role models, who are paid millions of dollars because of their unique skills, must be held to a higher standard. Freud was wrong. Catharsis does not drain our aggressive instincts. We do not need practice in aggression. Rather, we need to practice caring, altruistic, and positive social skills.n Dr. Gary L. Welton is assistant dean for institutional assessment, professor of psychology at Grove City College, and a contributor to The Center for Vision & Values. He is a recipient of a major research grant from the Templeton Foundation to investigate positive youth development.
Independence Blue Cross Foundation announces first doctoral nursing fellows The Independence Blue Cross Foundation in Philadelphia has announced the first three Foundation Nurse Fellows who will participate in the Future of Nursing Scholars program, a new initiative created by the Robert Wood Johnson Foundation (RWJF) to increase the number of Ph.D. prepared nurses in the United States. Two of the scholars are attending the University of
Pennsylvania School of Nursing and the third is attending the Villanova University College of Nursing. The Foundation is a founding funder of RWJF’s Future of Nursing Scholars program and has committed $450,000 over three years to support transformational leadership in education, research, and policy.
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October • 2014
Reprint in a series written by Signe Cooper and introduced by Laurie Glass in March Nursingmatters
Reflections of our Heritage Signe Skott Cooper’s legacy Joanna Johnson, 1891-1971 their own health and safety proAs an early leader in indusgrams, initiate first aid training, and trial (occupational health) nursestablish record keeping systems. ing, Joanna Johnson pioneered and With few guidelines, but great helped define the role of the nurse vision about what in making the nurses could contribwork place safer ute to the health of for employees. workers, she became a When she joined leader in her field. the Employers She travelled Mutual Insurance throughout the counCompany try providing consul(now Wausau tation on industrial Insurance nursing for organiCompanies) zations such as the in 1928 as the American Red Cross, firm’s first nurse the National Society specializing in for the Prevention occupational of Blindness, the health, she was National Organization the first person for Public Health to fill such a spot Nursing, and numerat any insurance Joanna Johnson ous public health company. 1891 – 1971 agencies. She providJohnson was ed groundwork for the creation of born August 16, 1891, in Shawano the Industrial Nurses section of the County. She attended Oshkosh State National Safety Council. Normal School (now University of Johnson served as editor of the Wisconsin-Oshkosh), but followfirst published standards and guideing a bout of pneumonia, decided lines for industrial nurses. She was a that she wanted to be a nurse. She frequently sought speaker on indusenrolled in St. Mary’s Training trial nursing and a contributor to School for Nurses, in Rochester, nursing journals and to “Industrial Minn., and received her nursing Medicine.” The April, 1953 issue of diploma in 1919. “Nursing World” was dedicated to After working at Columbia her in recognition of her 25th anniHospital in Milwaukee and in versary with the Wausau Insurance Pasadena, Calif., she returned Company. to Milwaukee in 1923. Her first Johnson retired in 1954, but employment as an industrial nurse became bored with retirement. She was at the Northwestern Malleable served for a short time as director Iron Company. After four years of the Green Bay Visiting Nurses there, she served as a public health Association. She then moved to nurse in Waukegan, Ill. Pasadena, Calif., where she stayed Johnson came to Employers until her death in 1971. Mutual in 1928. Here role was to help the firm’s policy holder comIn her honor, the Joanna Johnson panies improve working conditions Professional Chair in Occupational by preventing disease and accidents, Health Nursing was established reducing disability and contributing in 1978, at the University of to the welfare of employees. She Wisconsin-Milwaukee, with funds began by helping companies develop provided by Wausau Insurance
Company. This is the nation’s first professional chair in occupational health nursing, and recognizes
Johnson’s pioneering and innovative contribution to her chosen field.n
Come see What Is Possible here. Froedtert Health’s strong partnership with the Medical College of Wisconsin has benefited patients, health care professionals and the region since 1980. With three hospitals and more than 30 primary and specialty care health centers and clinics, the Froedtert & the Medical College of Wisconsin health network provides a work environment where medical and non-clinical professionals can feel encouraged, respected, valued and highly regarded. We currently have the following opportunities available:
ICU – Registered Nurses MCU – Registered Nurses – Night Shift Wound Care Registered Nurses St. Joseph’s Hospital – West Bend, Wisconsin Clinical Coordinator – Registered Nurse Operating Room Registered Nurses Froedtert Hospital – Milwaukee, Wisconsin ICU – Registered Nurses Community Memorial Hospital Menomonee Falls, Wisconsin To learn more about the Froedtert & the Medical College health network and to apply, please visit froedtert.com./careers We are proud to be an Equal Opportunity Employer. As a federal contractor/subcontractor, we take affirmative action in employment based on race, sex, disability and status as a protected veteran. We welcome protected veterans to share their priority consideration status with us at 414-777-1680. We maintain a drug-free workplace and perform preemployment substance abuse testing.
froedtert.com/careers
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Physical work environment in hospitals affects nurses’ job satisfaction, with implications for patient outcomes, health care costs Job satisfaction is an important predictor of registered nurses’ (RNs) job turnover, patient satisfaction, and nurse-sensitive patient outcomes (including pressure ulcers and falls), which can result in higher health care costs and penalties for hospitals that receive Medicare and Medicaid payments. Numerous studies have been conducted to assess nurses’ job satisfaction, asking about nursephysician relationships, opportunities for promotion, autonomy, and similar issues, but very few have addressed the impact of the physical work environment on RNs’ job satisfaction. Now, a new study conducted by the Robert Wood Johnson Foundation’s RN Work Project finds that a physical work environment that facilitates RNs’ efficiency, teamwork, and interprofessional communication is related to higher job satisfaction. Maja Djukic, Ph.D., RN, assistant professor at the College of Nursing, New York University, led the research team. The study, in the current issue of Research in Nursing & Health, revealed that while physical environment had no direct influence on job satisfaction, it did have a significant indirect influence because the environment affected whether nurses could complete tasks without interruptions, communicate easily with other nurses and physicians, and/or do their jobs efficiently.
2014 Pediatric Nursing Conference Igniting your passion for nursing excellence Wednesday, Nov. 5, 2014 Registration information: maxishare.com/conferences Sheraton Milwaukee Brookfield Hotel 375 S. Moorland Road
RNs begun in 2006 by Kovner and Brewer, and supported by a grant from the Robert Wood Johnson Foundation. Nurses surveyed were licensed for the first time by exam between August 1, 2004, and July 31, 2005, in 34 states and the District of Columbia.
About the Robert Wood Johnson Foundation
The research team conducted a nationwide survey of RNs to examine the relationship between RNs’ physical work environment and job satisfaction. They found that RNs who gave their physical work environments higher ratings were also more likely to report better workgroup cohesion, nurse-physician relations, workload, and other factors associated with job satisfaction. The team was also led by Christine Kovner, PhD, RN, FAAN, professor at the College of Nursing, New York University, and Carol Brewer, Ph.D., RN, FAAN, professor at the School of Nursing, University at Buffalo. It included Farida Fatehi, BDS, MS, who was a research analyst at the College of Dentistry, New York University, at the time the study was conducted; and William Greene, PhD, Robert Stanksy and Toyota Motor Corporation professor of economics at the New York University Stern School of Business. “Clearly, the physical work environment can affect nurses’ ability to do their jobs effectively and efficiently,” said Djukic. “The right environment facilitates nurses’ work, which increases their job satisfaction, which in turn reduces turnover. All of those improve patient outcomes. When investing in facilities’ construction or remodeling, health care leaders should look at features
that enhance workgroup cohesion, nurse-physician relations, and other factors that affect job satisfaction. Those investments will pay off in the long run.” The researchers measured job satisfaction in terms of procedural justice, autonomy, nurse-physician relationships, distributive justice, opportunities for promotion, workgroup cohesion, and variety in one’s job. Physical environment was assessed based on the architectural, ambient, and design features of the workspace, including crowdedness, ventilation, lighting, arrangement of furniture, colors and decorations, aesthetic appearance, and the need for remodeling. “This study supports our previous findings, which indicate that investing in improving nurses’ work environments is extremely worthwhile,” said Kovner. “We’d suggest that future studies delve into which aspects of the physical work environment best support the factors that enhance nurses’ job satisfaction.” The study is based on a 98-question survey of 1,141 RNs, which is part of RN Work Project, a nationwide, 10-year longitudinal survey of
For more than 40 years the Robert Wood Johnson Foundation has worked to improve the health and health care of all Americans. We are striving to build a national Culture of Health that will enable all Americans to live longer, healthier lives now and for generations to come. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf. org/twitter or on Facebook at www. rwjf.org/facebook.
About new York University College of nursing NYU College of Nursing is a global leader in nursing education, research, and practice. It offers a Bachelor of Science in Nursing, a Master of Science and Post-Master’s Certificate Programs, a Doctor of Philosophy in Research Theory and Development, and a Doctor of Nursing Practice degree. For more information, visit https://nursing. nyu.edu/n
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October • 2014
Linda A. schwartz confirmed as VA Assistant secretary long-term and ongoing health care Reprinted from The American Nurse needs of our nation’s veterans and American Nurses Association service personnel are well known,” (ANA) and Connecticut Nurses said ANA President Association member Pamela F. Cipriano, Linda A. Schwartz, Ph.D., RN, NEA-BC, DrPH, MSN, RN, FAAN. “The American FAAN, has been Nurses Association confirmed as assisalso knows firsthand tant secretary of how committed she is the Department of to nurses and the nursVeterans Affairs ing profession, and we (VA) for Policy and are thrilled and honPlanning. Schwartz ored to work with her currently serves in this new role.” as commissioner Shortly after her of the Connecticut Linda Schwartz confirmation by the Department of Photo courtesy ANA U. S. Senate, Schwartz Veterans Affairs, a said, “I’ve been a position she has held lifelong member of ANA and have since 2003. In her new role, she will learned a lot [from that associahelp develop and review VA departtion]. I started out at the VA from mental policy, analyze VA trends the ground up — first as a patient and statistics, and evaluate VA trans— and I’m really excited about this formation initiatives. new opportunity. I believe that it is “Linda Schwartz’s achievements the highest office in the VA that a and advocacy around meeting the
WnA continued from page 1
indicators for the particular area. The five Core Areas and the vision statements are identified below: Core Area 1: Coordination. Develop a coordinated health care work force plan and stable funding for collecting and analyzing the data essential for implementing and tracking the success of that plan through cooperation with a wide group of stakeholders who are informed and engaged in the success of the project, including the public. Core Area 2: Data. Wisconsin will have a sufficient and sustainable health care work force through the collection, analysis and reporting of health care worker data. Core Area 3: Work Redesign/ Changes in Care Delivery. Understand new service delivery models and other changes in the organization of health care delivery as they affect work force needs, clinical training opportunities, and needed changes in the regulatory environment, in order to ensure that
the future health care work force meets patient care needs. Core Area 4: Pipeline. A plan to ensure that education/training programs fit workforce needs. Core Area 5: Mental/Behavioral Health. Gain a clear picture of the status of mental health resources in Wisconsin communities, assessment of gaps in services, and a plan for addressing those gaps. Acord and Dennik-Champion have divided their time to participate on each workgroup. There are established timelines where progress reports are to be submitted to NGA for review, feedback and advice. The entire project is to be completed by December 2015. WNA will be working closely with the Wisconsin Center Nursing, the recognized nursing organization in Wisconsin whose purpose is to ensure an adequate, competent and diverse nursing work force for the people of Wisconsin. WNA will also be working with its members to review and provide input on the various drafts to make sure professional nursing care and leadership is visible and effective.n
nurse has served. It shows that nursing has come of age.” President Obama nominated Schwartz in August 2013. “I welcome Dr. Schwartz to our leadership team,” said Secretary of Veterans Affairs Robert A. McDonald. “Based on her decades of devotion and hard work on behalf of veterans and veterans’ causes, I know she will have an immediate impact in the agency’s continued mission of serving the great men and women who have proudly worn this nation’s uniform.” Schwartz, a disabled veteran, is currently the commissioner of the Connecticut Department of Veterans Affairs, a position she has held since 2003. She concurrently serves as an associate clinical professor of nursing at the Yale School of Nursing, where she has been on faculty since 1999, and was appointed associate research scientist and scholar. From 1980 to 1993, she taught
at several university and college schools of nursing and held leadership roles in nursing organizations in Connecticut. From 1979 to 1980, she was a caseworker in the Office of the Field Director of the American Red Cross at Rhein-Main Air Base in Germany. Schwartz also served in the United States Air Force (USAF) Nurse Corps from 1968 to 1986, both on active duty and as a reservist. She retired as a flight nurse instructor, with the rank of major after sustaining injuries in a USAF air craft accident. She received her bachelor’s of science degree in nursing from the University of Maryland School of Nursing; a master’s of science degree from Yale University School of Nursing; and a DrPH from the Yale University School of Medicine. She served as past president of the Connecticut Nurses Association and on ANA’s Board of Directors.n
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The Wisconsin nursing Workforce: Redesigning health care delivery nurses on key health care boards and care boards, executive teams and executive teams. other major leadership roles across b. Solicit all systems. input from nurs• Implement ing staff in redeinterprofessionsign activities. al educational c. Expand models between leadership develhealth care opment, educaproviders and IOM Report Key Message: tional programs, other appropriand mentorate disciplines Nurses should be ing strategies in educational full partners with MDs for nurses by institutions. employers and • Develop and other health nursing organiand implement professionals in zations. interprofesredesigning health care d. Increase sional models Wisconsin Issue #7: number of of care delivery in the United States. There is a need to redesign the jointly-offered and communihealth care delivery system, and interprofessional cation across assure interprofessional coordination classes through all health care of care. interdepartmental collaboration in systems and practice venues. educational settings. Recommendations: Strategies: e. Utilize academic practice link• Position nurses on major health a. Expand the participation of ages to develop collaborative models for interprofessional teams in health care systems and the community. Increasing educational capacity and academic progression are key issues which require time to accomplish. Positive outcomes will require public-private partnerships and innovative collaboration. Dedicated efforts to advance nursing and interprofessional education can assure the preparation of high-performance health care provider teams that are prepared to work together as new models of care delivery emerge. This issue will be addressed, in 1-888-VITERBO • www.viterbo.edu/nursing • La Crosse, Wisconsin part, with the Wisconsin Action Coalition’s next proposal for Round 2 of the Robert Wood Johnson Foundation® State Implementation Program (SIP) grants. The Wisconsin proposal, Wisconsin Nursing LEADs BSN Program Doctor of Nursing the PACC (Partnerships in Action for • Offered on campus Practice (DNP) Program Community Care) will, as the title suggests, follow up in the Round 1 • BSN to DNP Taking the LEAD for Nursing grant Family NP BSN Completion in the areas of nursing leadership, Adult-Gero NP • One morning a week education and diversity, but also • MSN to DNP • Four Wisconsin locations introduce an important new focus area in community-based, interproFor practicing NPs • Classroom and online fessional care models. • Hybrid course delivery If awarded, the project will Welcome to the eighth in a series of articles presented by the Wisconsin Center for Nursing (WCN) on its 2013 report, “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 work force shortage in our state.
Viterbo is ...Nursing
develop a regional pilot partnership comprised of health care systems, community-based care employers, governmental agencies, educators, insurers and philanthropists. Other partners could potentially include any agencies concerned with population health, particularly those concerned with vulnerable populations as care transitions into the community, as well as the specific needs of this region, including behavioral health and the needs of the elderly. The purpose of these partnerships is to examine team-based concepts for care in community settings, and create an environment for educators and employers to inform each other on promising practices. The exchange of resources, knowledge and skills can leverage collective resources to provide communitybased solutions. At the same time, these partnerships will serve to align identified needs with potential sources of philanthropy and support. Specific regional diversity needs will also inform the work of the partnerships. The resulting pilot in Southeast Wisconsin will develop the framework and strategies to eventually scale statewide. As health reform refocuses care on underserved populations, health promotion, and transitional care between community and healthcare facilities, nurse educators, clinicians and administrators will need to work together and with other disciplines and policy makers to align the nursing profession with individual and population health needs. Interprofessional strategies and technology need to be leveraged to improve both educational and clinical outcomes in a time of scarce resources. It is also important for nursing to advance in leadership positions for this redesign of care. There are clear recommendations in the IOM Report to increase the number of nurses on boards in Wisconsin, especially those boards concerned with assuring the health of populations. The Taking the LEAD for Nursing grant continued on page 9
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UW–Madison school of nursing selects two Jonas scholars population because of the health The University of Wisconsin– disparities that exist among women Madison School of Nursing recently of color as well as being a young announced that, with a new grant of woman of color myself,” Crooks $10,000 from the Jonas Center for says. “I believe that using qualitaNursing and Veterans Healthcare, tive methods will help inform nurse matched by $10,000 of its own monresearchers how to develop more ies, it will fund the scholarship of effective prevention techniques two doctoral nursing students in while working with this population.” 2014. As a recipient of the Jonas Schneider, a stuCenter grant, the dent in the DNP School of Nursing program, works for is part of a nationthe University of al effort to stem Wisconsin Organ the nation’s dire and Tissue Donation shortage of doc(UW OTD) service torally prepared as an organ pronursing faculty. curement coordinaDoctoral stutor. “My interests dents Natasha closely align with Crooks, BS’13, the rewarding work RN, and Adam done at UW OTD in Schneider, BSN, the areas of critical RN, selected care and palliative as Jonas Nurse care,” Schneider says. Leaders Program Natasha Crooks, BS’13, RN “I have found it to Scholars, will be very gratifying to each receive provide support to $10,000 in scholfamilies who have often experienced arship funding awarded over two a tragedy. After working for UW years ($5,000 per year) to support OTD, I have discovered that I have a pursuing a doctoral degree with a strong passion for teaching not only strong interest in becoming nursing patients’ families, but faculty or a leader also hospital staff.” in primary care Crooks and and clinical faculSchneider join nearly ty. The School of 600 future nurse Nursing has also educators and leadcommitted to proers at 110 schools vide up to $2,500 supported by Jonas for both Crooks Center programs, the and Schneider to Jonas Nurse Leaders attend a leaderScholars Program, ship conference and Jonas Veterans in October 2015 Healthcare rogram in Washington, (JVHP). These scholD.C. arships support nursCrooks, a stues pursuing PhDs and dent in the PhD Adam Schneider, BSN, RN DNPs, the terminal program, focuses degrees in the field. her research on The grants are part of women’s sexual a national initiative to address nurshealth—specifically, transmiting faculty shortage. ted infection prevention in young “I am extremely honored to women of color. “I am passionhave been selected for this award,” ate about sexual health within this
Schneider says. “It will assist me greatly in my goal to attain my Doctor of Nursing Practice degree. I’m eager to collaborate with peers who share a strong passion for nursing development and want to work to create a more efficient and effective health care system.” Crooks concurs. “It’s an honor to receive this award, and I am hopeful that I will make a difference within the field of nursing by educating others through my research and sharing my experiences,” she says. The Jonas Center, the leading philanthropic funder for nursing, is addressing a critical need, evidenced by troubling data from the AACN showing that 2013 saw the lowest enrollment increase in professional RN programs in the past five years. This is due primarily to a shortage in qualified faculty. –Kathleen Corbett Freimuth
Advancing Leadership in Nursing through the MSN and DNP The Henry Predolin School of Nursing invites you to an evening of exploring graduate nursing education at Edgewood College. The evening will include refreshments, networking opportunities, and an informational session regarding both the Master of Science in Nursing and Doctor of Nursing Practice programs at the College. We look forward to answering your questions about the MSN and DNP.
Tuesday, October 21, 2014 5:00 – 6:30pm 5:00 – Networking and Refreshments 5:15 – Presentation
Edgewood College, 1255 Deming Way Madison, West Campus
Please RSVP to Jenna Alsteen at jalsteen@edgewood.edu or 608-663-4255.
For more than 160 years, nurses have enjoyed a rewarding career at Columbia St. Mary’s. That includes all the benefits of a strong, stable organization. But our nurses are also part of a team of healthcare providers who receive our full support in delivering the highest quality and most personal care to their patients. And that means we’re not the only ones showing our appreciation for a job well done. How rewarding can it be to practice nursing at Columbia St. Mary’s? To begin to find out, visit PA S S I O N F O R PAT I E N T C A R E . O R G
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Nursingmatters
CeO says nurses represent voice of health care consumer Why should nurses rise to the executive level of governing boards? Connie Curran, BS’69, EdD, RN, FAAN, a UW–Madison School of Nursing alumna and NAO’s 2000 Distinguished Achievement Award recipient, offers a pragmatic answer: “If nurses are not in the hospital boardrooms, there are no good patient outcomes,” she says. “Nurses understand the business of quantity and quality of life.” Curran, who currently sits on five governing boards, including the Ann and Robert H. Lurie Children’s Hospital of Chicago and the UW Foundation Board, is founder and CEO of Best on Board. This Chicago-based national organization focuses on educating and certifying health care trustees and assisting hospitals and health systems with board and governance issues. Providing these services through online programming, Curran and company have begun concentrating their efforts on nurses, whom she believes, can change old ways of doing business in health care. “A well-informed board can make the right decisions about things for the patient, the community, and the employee,” Curran says. “As nurses, we represent the voice of the consumer at these strategic tables. Nurses speak for the patient. We are the discipline with the expertise in coordinat-
ing care, managing clinical outcomes, IC is important in the larger diarunning complex organizations, and logue of health care—that is, the serving as patient navigators through influence of nurses’ knowledge, turbulent waters of contemporary skills, and experience on clinical health care.” and organizational Best on Board outcomes.” educates trustees Curran exempliand hospital systems fies corner office in two areas: essenleadership. After tials of governance getting her bachand quality of care. elor’s degree from “Most boards have the UW in 1969, she a banker, a lawyer, a practiced nursing physician. But when in the Chicago area you think about it, while completing who’s closest to the a master’s degree customer?” asks in medical-surgical Curran. “It’s the nursing. While earnnurse who’s there ing an EdD in edu2/47.” Trustees must cational psychology Connie Curran, recognize, Curran at Northern Illinois EdD, RN, FAAN adds, that “if hospitals University, she decidhave a lot of re-admissions, its’ a ed academia was a good fit. She sign of poor-quality care; Medicare enjoyed grant writing and was very could cut funding. Nurses on boards good at getting funded. could help change this metric.” “Eventually, I realized that I was Curran and colleague Therese an entrepreneur,” she says. Curran Fitzpatrick, PhD, RN, wrote a book started CurranCare, a national manentitled Claiming the Corner Office: agement and consulting services Executive Leadership Lessons for organization in non-acute care. After Nurses (2013). The book, Curran selling this company, she started says, is dedicated to the gameC-Change in Washington, D.C., a changers—the next generation of national organization focused on the nurse entrepreneurs, inventors, and eradication of cancer. This executive corner office leaders. “Nurses’ call directorship led to her current CEO to action is one of articulating our position. IC, or intellectual capital. Nursing “Nursing,” Curran says, “gave me
great assessment skills to go into a situation, to look around and listen, and to come up with a pretty good assessment of what the situation is. I worked in the ER at University Hospital and Clinics all four years of nursing school. I learned a lot of triaging skills and good communication skills. To this day, I use them: Figure out what the situation is; prioritize where you’re going to put your time, money, and people; and communicate clearly to your people and customers. I learned all this at Wisconsin.” Curran offers this advice to nursing students and alumni who can see themselves taking a seat at the governing table. “English athlete Roger Bannister was the first to run the mile in under four minutes—a feat everyone thought couldn’t be done. Within three years of Bannister’s record, two other athletes broke it. So, challenge self-limiting beliefs about what you can accomplish. Nurses have unlimited potential.” –Kathleen Corbett Freimuth Wisconsin native Connie Curran has generously supported the development of Signe Skott Cooper Hall, which opened in the fall of 2014. Curran Commons, named for its benefactor, will serve as a first-floor gathering place for nursing students to share experiences and build friendships.
Peggy Gauthier wins Bellin College distinguished Alumni Award GREEN BAY, WIS. - Margaret “Peggy” Gauthier was selected as the recipient of the 2014 Distinguished Alumni Award at Bellin College’s Alumni Homecoming on Sept. 11. Peggy is the team leader at the Bellin Health Center for Digestive Health, and she graduated from Bellin College’s diploma program in 1970. Peggy went on to obtain her Bachelor of Science in nursing degree from UWGB and her Master of Science
in health administration from Silver Lake College. Peggy has been instrumental in promoting safe, effective professional development of nurses and associates in gastroenterology at local, state, national and world levels during her 40 plus year career. She served as the president of the National Society of Gastroenterology from 2010-2011, and still remains very involved today. She was also a member of
Bellin College’s Alumni Council group during the 1970s and 1980s, where she served on many committees and held the offices of secretary and president during separate years. Peggy reached the highest level attainable in her profession and has traveled world-wide, always promoting professional leadership and development in the fields of health care. The Alumni Council is thrilled to present the first ever Distinguished
Alumni Award to Peggy Gauthier on behalf of the entire college and its body of alumni. Peggy fully exemplifies the College’s mission and values of excellence, community, caring and integrity. The Council believes that Peggy’s community service and professional accomplishments within the field of nursing are remarkable, and believe that she will continue to leave a lasting legacy in the Green Bay community and beyond.n
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nursing graduates’ college debt, unemployment examined Reprinted from Nurse.Com An online article in Nursing Economic$ explores the financial challenges to new nurses entering the work force, including student loans and finding a job. In the article, “Nursing Student Loan Debt: A Secondary Analysis of the National Student Nurses’ Association Annual Survey of New Graduates,” authors Veronica Feeg, Ph.D., RN, FAAN, and Diane Mancino, EdD, RN, CAE, FAAN, analyzed four years of data from the NSNA New Graduate Annual Survey (2010-13).
“Understanding educational loan debt, school choice, and borrowing patterns of nursing students specifically is essential to forecast and plan for an adequate supply of educated nurses in the future,” the authors said, according to a news release. According to the article, although hiring new nursing graduates appears to be improving across the country – from 72 percent in 2012 to 81 percent in 2013 – only 55 to 59 percent of new nurses with bachelor’s degrees reported being employed in the
four years analyzed (2010-13); for associate degree nurses, the percentage ranged from 42 to 45 percent. During the four years, about 70 percent of all graduate nurses reported graduating with debt, according to the release. In their analysis, the authors discovered that “nursing students are similar to all undergraduate college students with average student loan debt [approximately $30,000 per borrower].” The authors also pointed out that funding for advance practice RNs
Janesville teachers to receive casualty care kits and training JANESVILLE, Wisconsin — Mercy Health System, the Janesville Police and Fire Departments and the Janesville School District have teamed up to provide lifesaving Casualty Care Classroom Kits™ and related training to all teachers in the Janesville School District. Training begins this fall. The Casualty Care in the Classroom task force was formed in January in response to an active shooter tabletop drill mediated by the FBI last winter with participants from all city services and other local agencies. “While we never want to see it happen, we must be prepared for mass casualties created by criminal activity and natural disasters,” said Dr. Yolanda Cargile, Director of Student Services for the Janesville School District, “These kits will help our teachers render aid to injured students while sheltering in place.” Sgt. Mike Blaser, SWAT assistant team leader with the Janesville Police Department, emphasizes the importance of teacher first aid training. “When we respond to a mass casualty incident, our priority is a rapid and aggressive response to locating and stopping criminal threats. Until we’ve assessed the situation and secured a safe environ-
ment—which could take up to a half-hour—teachers and students must remain in the classroom without professional medical assistance.” In cases of bleeding, time is of the essence. “Rapid blood loss can lead to shock. We want our teachers to feel confident in hemorrhage control,” said Christopher Wistrom, DO, emergency medicine physician and associate EMS medical director for Mercy Health System. “Training them to be confident on-site first responders can buy time, and potentially save lives, until EMTs or paramedics can safely reach the classroom.” Casualty Care Classroom Kits include an information card and hemorrhage control supplies. Mercy Health System supplies the bags and information cards, and purchases kit supplies at cost. Mercy physicians, along with members of the Janesville Police Department and Janesville Fire Department, serve as trainers. The Casualty Care in the Classroom initiative is in pilot stage. The task force is happy to work with other inquiring school districts to develop their own programs. For more information about the Mercy Casualty Care in the Classroom initiative, contact Dr. Christopher Wistrom at cwistrom@ mhsjvl.org.n
dominates grant programs offered through the Health Resources and Services Administration. The only HRSA undergraduate funding available for nursing education supports individuals from disadvantaged backgrounds. The authors concluded that the data analyzed in this study suggest new nurses are more likely to be in debt than in the past. “Policymakers and educators need to be aware of the debt that is carried by these new graduates,” the authors advised. “It is imperative strategies be created to support a workforce that is prepared to meet the health care challenges faced by the next generation of nurses.” See the full report: http://www. nursingeconomics.net/ce/2016/ articleSO.pdf n
Workforce continued from page 6
completed a number of nurses on boards surveys and the full reports of the surveys are available on the WCN website. In July, WCN provided board service training sessions for more than 140 nurses in our state at regional meetings held in Madison, Waukesha, Eau Claire and Appleton. The next grant proposal addresses the provision of additional training sessions and also includes the critical topic of philanthropy training. Complete reports on the nursing workforce and from all RWJF grant activities are available at www. wicenterfornursing.org. Watch for the next article in this series, “Enhanced Workforce Data Collection for Nurses and Other Healthcare Providers,” in the November 2014 issue of Nursingmatters.n Submitted by Yvonne Eide, MS, RN, WCN Board of Directors and Judith Hansen, MS, BSN, WCN Executive Director.
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NM COLLeAGUes CORneR Just published: ‘Home Health nursing: scope and standards of Practice (2nd edition)’ Home health nursing is one of the fastest-growing industries. As a nurse practicing in this area, you will be called on to coordinate and deliver care like never before. Americans ages 65 and older will be nearly 20 percent of the population by 2030, and will be more diverse with respect not only to race and ethnicity, but also to other cultural and socioeconomic factors. This diversity will impact your home health practice roles and responsibilities.
To effectively do your job and ensure the highest quality patient care, you need ANA’s newly updated publication “Home Health Nursing: Scope and Standards of Practice, 2nd Edition.” This is the only publication that articulates the essentials of home health nursing at all practice levels and in all settings and is specifically designed to define, direct and guide the practice of home health nurses. Order your copy from http://www. nursesbooks.org. Nursesbooks.org is the publishing program of ANA. The member price is $21.65 and the list price is $29.65.
Register now for 2015 AnA Quality Conference Join your peers at the only conference for nurses focusing on quality outcomes. Discover new ways to empower your practice with tools and insights to improve patient care. Tap into innovative and interactive programs that will challenge what you know about quality solutions, stimulate your creativity and motivate you to change your practice. The 2015 American Nurses Association Quality Conference from Feb. 4 to 5 at the Disney Coronado Springs Resort in Florida explores the changing landscape of quality and patient safety and reveals the future of health care.
Learn more and register today! Join your peers at the only conference for nurses focusing on quality outcomes! Discover new ways to empower your practice with the tools and insights to improve patient care. Tap into innovative and interactive programs that will challenge what you know about quality solutions, stimulate your creativity and motivate you to change your practice. The 2015 American Nurses Association Quality Conference explores the changing landscape of quality and patient safety and reveals the future of health care. Register on the ANA website, http://nursingworld.org/ (Go to the “Conferences” tab and to the 2015 ANA Quality Conference).n
edUCATIOn MATTeRs October 2014 Calendar Oct. 9, 10, 11, 12 & Nov. 8: Grief Support Specialist Certificate UW-Madison Continuing Studies Madison bnehlslowe@dcs.wisc.edu or (608) 890-4653 Oct. 10 & 11: WNA Convention &Annual Meeting: “Empowering Nursing-Your Voice, Your Practice, Your Future” Wisconsin Nurses Association La Crosse (608) 221-0383 x 201 or brenda@wisconsinnurses.org
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
Oct. 10: Preventing and Managing Chronic Inflammation: Special Focus: Nutritional Interventions Brookfield Institute for Brain Potential (866) 652-7414 or www.IBPCEU.com Nov 1: Caring for the Patient with Multiple Sclerosis International Organization of Multiple Sclerosis Nurses Brookfield www.iomsn.org or (201) 487-1050 (608) 262-2451 or continuingstudies.wisc.edu/certificates/mental health-older-adult.html Nov. 4 & 5: American Nurses Association Staffing Conference American Nurses Association New Orleans, LA www.nursingworld.org/staffing conference Nov. 6: Late-Life Sleep Disorders UW-Madison Continuing Studies Madison (608) 262-2451 or continuingstudies.wisc.edu/certificates/ mental health-older-adult.html
NURSING OPPORTUNITIES Use Your Nursing Experience in a Business Environment! Do you want weekends and holidays off? Does your current nursing position require an unpredictable schedule and long hours? WPS is currently seeking Nurses who have a minimum of three to four years of clinical nursing experience. The following opportunities are currently available in our Madison, WI office. RN, Medical Management Manager RN, Medical Review Nurse Analyst RN, Policy Development Coordinator RN, Integrated Care Coordinator RN, Disease Management Population Health Nurse
We offer business hours, competitive salary, comprehensive benefits and an opportunity to engage and grow professionally. If you want to drive innovation, we encourage you to apply. For more detailed information and to apply online please visit our web site at www.wpsic. com. Named One of “World’s Most Ethical Companies” for the Fifth Year in a Row Equal Opportunity/ Affirmative Action Employer
Find Career Opportunities posted continually throughout the month on Nursingmatters online.com
SAVE THE DATE 02.19.2015 Nursingmatters
EXPO 2015
THURSDAY, FEBRUARY 19 EXHIBITION HALL AT THE
ALLIANT ENERGY CENTER Madison, WI
SPEAKERS I VENDORS I NETWORKING Complimentary luncheon sponsored by
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‘Her,’ by Felicia Johnson, explores world of Borderline Personality disorder Editor’s Note: A must-read for all nurses and nursing students. In many ways, Kristen Elliott is a normal, seventeen-year-old girl. Kristen loves her family. She works hard academically, and tries to please her mother. She takes care of her twin siblings, and idealizes her best friend, Lexus. However, as is the case with many teenagers, Kristen feels frustrated, isolated, and confused. In other ways, explains Felicia Johnson, author of “Her,” Kristen is not like other kids her age. She knows something is wrong with her. Kristen feels like an utter failure. She is unable to please her abrasive mother, and scared to confront Jack, her abusive stepfather. She knows she will never be as beautiful Lexus. Kristen finds solace in self-injury, and the com-
pany of Mr. Sharp, her imaginary friend who encourages her feelings of self-loathing. After an uncompleted suicide attempt, Kristen is placed in the Bent Creek mental hospital, where she is diagnosed with Borderline Personality Disorder. BPD is a little understood and complicated psychiatric illess. Also known as Emotionally Unstable Personality
disorder, it is characterized by pervasive patterns including frantically avoiding real or imagined abandonment, unstable personal relationships, impulsive dangerous behaviors such as sexual promiscuity and reckless driving, and recurrent acts of suicidal behavior. While in the hospital, Kristen meets a group of peers suffering with their
own mental illnesses, and a compassionate staff of doctors and counselors. From there, Kristen begins her journey to survival. She discovers the circumstances that brought her to this breaking point, struggles to understand her mental illness, and fights to be a survivor against her own worst enemy: her self-blame. Kristen’s tale of endurance illustrates the complex illness of Borderline Personality Disorder. Readers – including those suffering from BPD and their friends and family – can glean insight into the illness from Kristen’s humanity. Her story is an example of how, if we try to push the past away, we are either doomed to repeat it or let it haunt us to our graves. The book is available at www.amazon.com.n
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