Nursing Matters December 2014

Nursingmatters December 2014

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Volume 25, Number 12

www.nursingmattersonline.com

InsIde: signe skott Cooper Legacy: ellen Church Marshall 1904-1965

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Mercy Health system granted Magnet Recognition®

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new tool will fight PTsd

PAID

MADISON WI PERMIT NO. 1723

PRST STD US POSTAGE

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Hats, blankets save babies in Tanzania From Karen Klemp, Hope 2 Others founder, RN, BSN, MA Written by Rebecca Rudolph, lifestyle editor for Sun Prairie Star

Tanzania is a world away. But the group Hope 2 Others is kicking off a program to help newborns there.

Karen Klemp “Even though it’s hot in (Tanzania), especially along the coast during the day – 95 to 100 degrees depending on the season – it does get cool at night, and babies cool off very quickly,” said Karen Klemp, president of Hope 2 Others.

“During the rainy season, which is spring and fall, the temperatures are cool and very damp. So keeping newborns warm is very critical for survival.”

Many babies die within the first 10 days of birth due to hypothermia, Klemp said. So the government mandated all hospitals and clinics provide items like blankets and hats to keep babies warm when they leave the facilities with their mother.

“Of course, these places can’t afford to do that either,” Klemp said.

In response, Hope 2 Others started “Hats 4 Hope” earlier this year.

The project’s goal is to create and send as many newborn-care kits as possible to help new mothers. Items like booties, blankets, hats, sleepers, newborn onesies, cloth diapers, baby soap, newborn teething toys and umbilical cord ties are sealed in a 2.5-gallon zip-plastic bag, which is then put in a green swag bag. This can double as a diaper bag for the new mother.

Over the summer, Klemp delivered 40 of these kits, cramming as many as she could into suitcases.

HOPE 2 OTHERS

HATS 4 HOPE NEWBORN CARE KITS Infant death from hypothermia in the first 10 days of life is a serious concern in Tanzania. Please consider donating supplies to be used in Newborn Care Kits for distribution at hospitals, clinics and medical centers that deliver babies and to midwives in developing countries!

KITS INCLUDE: PLEASE CONSIDER DONATING THE FOLLOWING ITEMS Ì ià U > iÌ U Ì iÜL À >Ì - ii«iÀà U iÜL À " ià iÉ1 `iÀà ÀÌÃ

Ì >«iÀà ­ Ì ` ë Ã>L i® >À v >LÞ - >« U 1 L V> À` / ià iÜL À É v> Ì /iiÌ } / Þ Ó°x > < « V >} Donated items should be new OR gently used and clean.

Items may be handmade or store- bought.

" / /: Karen Klemp, 608-825-9557, hope2others.info@gmail.com iÌ>ÀÞ Ì>Ý `i`ÕVÌ L i ` >Ì Ã >Ài Üi V i, send to: Hope 2 Others, P.O. Box 1006, Sun Prairie, WI 53590

The first Newborn Care Kits were distributed during a mission trip to Tanzania summer 2014.

More information about Hope 2 Others ministries and mission work can be found at

WWW.BRINGINGHOPE2OTHERS.COM

That was hardly enough, so she now hopes to fill a shipping container with them, along with other medical supplies needed in Tanzania. But before that can happen, she needs many more supplies and kits, and funds to cover shipping costs of about $20,000.

She’s looking for help from the area. Sun Prairie businesses, including First Weber, Beans N Cream, AmeriPrint, Zimbrick, Prairie Athletic Club and Summit Credit Union Sun Prairie have volunteered

to be drop-off locations for donations, as well as Harbor Athletics in Middleton and Princeton Club East Madison.

Hope 2 Others members held a “Packing Party” during October in Sun Prairie; more than 20 volunteers came from the community to pack 220 newborn kits. The only reason they stopped is the group ran out of newborn sleepers.

“We are so thankful for the outpouring of generosity and donations continued on page 2

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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 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.

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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

December • 2014

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Nursingmatters

APPReCIATIOn

By Kaye Lillesand, MSN

The holidays are a time to be thankful and reflective.

When I reflect on this issue of NURSINGmatters I am so thankful for all the different Kaye Lillesand types of contributions that nurses make to our society both nationally and internationally. Look at our cover story. Karen Klemp saw an international need and did something about it. She started Hope 2 Others and Hats 4 Hope.

Look at Ellen Church Marshall (page 3). As a nurse, she made a dif-

Babies contined from page 1

of these much-needed newborn supplies from our local communities,” Klemp said. “Everyone can help – schools, social groups, churches etc.

– to make donations. It only takes a willing heart to help in the effort to save the lives of these precious newborn babies and (alleviate) the desperation the mothers’ hearts feel for their children.”

Meriter Hospital Madison, where Klemp works, was also a drop-off site, for a two-week period of time in October. Donations filled cribs with many needed items.

“We even have a middle-school in Montana making baby hats and collecting newborn items to ship to us for this project,” Klemp said. “I met their teacher on the plane flying home from Tanzania this summer and when she heard what we were doing she got excited about the ‘Hats 4 Hope’ project and was on board.”

Tanzania is located on the southeast side of Africa and is peaceful, but poor. When Klemp visited the first time in 2002, she saw need everywhere.

“Most people are so poor their main concern is finding ways to eat,” said Bishop Nathaniel Mitachi, Hope 2 Others board chair in Tanzania. “Jobs like fishing and

nM

edITORIAL ference in the aviation industry!

The work that the Wisconsin Center for Nursing is doing for nurses in WI and nationally is phenomenal. (page 9) Margaret Callahan’s appointment to a national research committee is another example of the work we do. (page 4) The effort that the Mercy Health System nurses put into achieving Magnet Status and the impact that has on the image of nursing is to be

respected by all nurses. (page 6) Penn State’s Nancy Hanrahan’s work on a PSTD Tool Kit is a boon to many nurses. (page 10) The courageous and committed nurses who were elected to public office are making contribution to nursing and to all of society. (page 10) These examples are just a smidgeon of all the wonderful work that nurses do.

I AM SO GREATFUL FOR THEIR WORK AND I AM SO THANKFUL TO BE A NURSE!

herding goats are common, but few.

Those with high-paying jobs are very lucky.”

The educational system is also a challenge, he said.

“The government schools require fees for uniforms and other things, but, because people are so Karen Klemp with one of the newborns she so aptly cares for. poor, that’s hard to pay Klemp said. “We look to bring hope, for,” Mitachi said. “If students finhealth and healing to the nations, ish primary school, they can only and are humbled to serve these premove on to secondary education, cious people. We look to breathe like the United States high school, life into the next generation through if they pass an exam. If they don’t our service in Tanzania and to bring pass it, they can go to private school, increased awareness to the people which costs a lot of money, but most here back home in the United States. people just start working.”

We thank God for the generous Healthcare and education are the hearts and support of the work that two major concerns in Tanzania, like Hope 2 Others is doing; it is a priviin most developing countries. lege to serve His people.”

“So Hope 2 Others is making an Visit www.bringinghope2others. effort to make a difference in the com for more information.n lives of the people, mothers and This story first appeared in the babies – to make a positive impact Friday, Oct. 10, 2014 issue of the for a better and healthier life,” Sun Prairie Star newspaper.

www.nursingmattersonline.com

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December • 2014

Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters

Reflections of our Heritage Signe Skott Cooper’s legacy ellen Church Marshall, 1904-1965 Ellen Church Marshall is best known as the nurse who conceived the idea of nurses serving as airline flight attendants, and who became the world’s first airline stewardess. Although most of her career was not in Wisconsin , she was employed at Milwaukee County Hospital for four years.

A native Iowan, she graduated from the University of Minnesota School of Nursing in 1926. After employment in Minnesota and Arizona, she went to teach at French Hospital in San Francisco.

She spent her spare time at the airfield in San Francisco, searching for a career that would combine flying and nursing. When she learned that Boeing Company was considering having men flight attendants, she suggested that nurses would be ideal, for they would give passengers a much needed sense of security. In the early days of flying, passengers were often frightened, and planes were uncomfortable, unheated,

and non-pressurized.

Airline officials agreed to a three month trial. Marshall served on the first flight on May 15, 1930 from Cheyenne, Wyoming, to Oakland, California. From that date until World War II, only nurses served as airline stewardesses.

After working for Boeing Airplane Transport, predecessor to United Airlines, for two years, Margaret was injured in a car accident and did not continue as a stewardess. Instead, she returned to the University of Minnesota for a post graduate course in pediatric nursing.

In September, 1936, she began as a supervisor at Milwaukee County Hospital, a position she held for four years. Her duties included teaching all the pediatric nursing classes to student nurses. During her tenure she served as president of the Milwaukee District Nurses Association.

Marshall left Milwaukee for Louisville,

Kentucky, and in 1942 joined the Army Nurse Corps. For two years she served with the Air Evacuation Service, helping transport soldiers from North Africa, Sicily, England and France to the U. S. She was awarded the Air Medal for her exemplary service. Her last two years were spent teaching at the school of air evacuation at Randolph Field, Texas.

After completing a master’s degree in nursing administration at the University of Chicago, she was appointed Administrator of Union Hospital in Terre Haute, Indiana. In 1964, she married Leonard Marshall, a Terre Haute banker. She died a year later, the result of a fall from a horse.

In 1965 she received the Amelia Earhardt award for contributions to the field of aviation. The Ellen Church Marshall wing of the Flight Attendant School in Chicago was named for her and the airport in her home town of Cresco, Iowa, is named Ellen Church Field.n

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Nursingmatters

Report: blueprint to transform nursing Philadelphia – A new international report offers recommendations for transforming the field of nursing, in particular the role of advancedpractices nurses.

The findings for the report, “The Future of Nursing,” came out of the 2014 Global Advanced Practice Nursing Symposium, a two-day event sponsored by the Robert Wood Johnson Foundation.

“The foundation understands that (advanced-practice nurses) are essential partners in improving health and healthcare,” said Sue Hassmiller, senior advisor for nursing with the foundation. “The ‘Future of Nursing’ report provides a blueprint for transforming nursing to ensure that all Americans have access to quality healthcare. Expanding that discussion Sue Hassmiller to a global level acknowledges that there is so much we can learn from the experiences of other countries.”

More than 30 individuals representing 10 countries and six continents attended the symposium, which was jointly convened by the National Nursing Centers Consortium, the University of Pennsylvania School of Nursing, the Office of the Chief Nurse in Queensland, Australia, and AARP

International.

“One of the key barriers to expanding the role of (advancedpractice nurses) is the existence of a culture that has not yet acknowledged the ability of skilled nurses to provide care,” said Frances Hughes, Frances Hughes chief nursing and midwifery officer, Queensland Department of Health.

The goal of the symposium was to share best practices for developing and utilizing advancedpractice nurses, and to expand access to quality healthcare globally. Following the event, an international working group of nurses and health-policy leaders collaborated with the National Nursing Centers Consortium to produce a “white paper.”

“The role of advanced practice nurses is growing worldwide,” said Tine Hansen-Turton, chief executive officer of National Nursing Centers Consortium. “We recognized the need to create a dialogue about how different countries are developing and utilizing (advanced-practice nurses) to improve Tine access to care for Hansen-Turton

their citizens. Sharing best practices and learning from the challenges and experiences of other countries helps further our goals of increasing access to high-quality healthcare worldwide. This white paper is just the beginning and will enable continued collaboration to advance the role of advanced-practice nursing across the globe.”

The paper offers recommendations for global leaders and policymakers that are flexible enough to be applied in diverse locations and settings.

The recommendations include: • Standardizing the definition of the Advanced Practices Nursing role; • Improving the educational curriculum for Advanced Practices Nursing while respecting each country’s unique cultural and political context; • Increasing access to primary and preventive healthcare services by removing policy barriers that prevent advanced-practice nurses from practicing to the full extent of their education and training; • Reforming healthcare funding mechanisms to allow for Advanced Practices Nursing-based practice models; and • Continuing the collection of data and sharing of information on Advanced Practices Nursing quality and outcomes in a variety of countries and settings.

“By incorporating these recommendations into practice, we can ensure that nurses can treat patients based on a more broad definition of health around the world due to the standardization of their education,” Hughes said.

Julie Fairman, professor of nursing at the University of Pennsylvania School of Nursing, said, “Our main mission is to improve the public’s health, and advanced-practice nurses are a key way of moving that agenda forward.”

An international Julie Fairman coalition of stakeholders will work together to disseminate and implement the white paper’s recommendations. It will be shared with nursing organizations, health-policy leaders and nurse educators throughout the world, and will be presented at upcoming international conferences and meetings.

Visit www.nncc.us for more information and to view the complete white paper. Visit www.nncc. us/site/policy/global-advancedpractice-nursing-symposium for a short video of highlights from the symposium.

The National Nursing Centers Consortium is an affiliate of Public Health Management Corporation, a nonprofit organization that advances nurse-led healthcare globally.n

MU’s dean Callahan selected MILWAUKEE – Dr. Margaret Faut Callahan, Marquette University’s interim provost and dean of the College of Nursing, was selected by the Department of Health and Human Services to serve on a working group to address professional education and training related to pain.

In October 2012, the Department of Health and Human Services charged the Interagency Pain Research Conditioning Committee, in cooperation with the National Institutes of Health, with creating a comprehensive,

CeLeBRATIOns population-level health strategy for pain prevention, treatment, management, education and research, as recommended in the Institute of Medicine report: Relieving Pain in America. The IOM report found that chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. To reach the vast multitude of people with various types of pain, the IOM report advocated for a nationwide, population-level prevention and man-

agement strategy.

The Department of Health and Human Services has established the following five working groups made up of experts from the health care industry, federal agencies and the scientific community to support these efforts: • Professional Education and Training Working Group • Public Education and Communication Working Group • Public Health: Care, Prevention and

Disparities Working Group • Public Health: Service Delivery and Reimbursement Working Group • Population Research Working Group Callahan was selected to serve on the Professional Education and Training Working Group, which is charged with improving pain education for health professionals, including establishing a standardized pain curriculum; ensuring assessment of pain knowledge is a part of licensure examinations; expanding interdisciplinary education in pain and palliacontinued on page 5

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December • 2014

CeLeBRATIOns (continued from page 4) tive care; and ensuring pain management is recognized as a core competency of internal medicine and family medicine. Each working group will meet for 18 months to develop a comprehensive strategic plan to implement the IOM’s recommendations.

Since arriving at Marquette in 2008, Callahan completed an aggressive college strategic planning process resulting in a comprehensive revision of the pre-licensure curriculum for undergraduate students, expanded the college’s freshman class size and implemented a new Doctor of Nursing Practice program. Her commitment to developing the scientific foundations of nursing practice has resulted in a 100-percent increase in scholarly publications by faculty members in the College of Nursing.

In addition, the College of Nursing’s graduate program is ranked in the top 10 percent in the country, according to U.S. News and World Report.

Callahan completed the Association of Jesuit Colleges and

Universities Ignatian Colleagues Program and is a member of the American Nurses Association, American Association of Nurse Anesthetists and Sigma Theta Tau, the honor society of nursing. She is an elected fellow in the American Academy of Nursing, National Academies of Practice and Institute of Medicine Chicago. Callahan is published extensively in the areas of pain management, palliative/end-of-life care and health policy.

The co-chairs of the Professional Education and Training Working Group are Dr. James Rathmell, executive vice chair of anesthesiology, director of the Center for Pain Medicine and chief of the Division of Pain Medicine at Massachusetts General Hospital, and Dr. Robin Gallagher, director of Pain Policy Research and Primary Care at Penn Pain Medicine and deputy national program director for pain management at the University of Pennsylvania School of Medicine.n

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December • 2014

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Nursingmatters

Mercy Health system achieves nursing excellence Recognition JANESVILLE, WI—Mercy Health System is proud to announce it was granted Magnet Recognition® by the American Nurses Credentialing Center on October 21.

The designation is considered the highest honor in the country given to a health care organization for nurs-

ing excellence. In fact, Mercy Health System is one a few organizations in the country to achieve Magnet® for an entire health care system including all components of the organization across the two states of Wisconsin and Illinois.

“Mercy Health System is among

Come see What Is Possible here.

A few of the nurses who worked so diligently celebrating the Magnet recognition.

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:

St. Joseph’s Hospital – West Bend, Wisconsin ICU – Registered Nurses MCU – Registered Nurses – Night Shift

Froedtert Hospital – Milwaukee, Wisconsin Clinical Coordinator – Registered Nurse (Community Health) Operating Room Registered Nurses ICU – Registered Nurses Optional Part-time Registered Nurses

Community Memorial Hospital – Menomonee Falls, Wisconsin ICU – Registered Nurses Labor & Delivery – Registered Nurses 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 pre-employment substance abuse testing.

froedtert.com/careers

the best and is a model system for all health care organizations in the nation,” said Deborah Zimmermann, DMP, RN, NEA-BC, FAAN, chair, Commission on Magnet® Recognition, in an announcement call to nurses and staff. “Mercy demonstrates to patients, their families and the community, they provide efficient, expert care at the highest level possible. This honor is a testament to Mercy’s commitment to doing what’s right for their patients.”

Mercy Health System President and CEO, Javon R. Bea, says to earn the Magnet® designation, organizations must undergo a rigorous, multifaceted evaluation. The evaluation process is thorough and lengthy, demanding evidence and testimony of optimal patient care outcomes. It includes a review of nursing practices, interviews with over 80% of our nurses, as well as interviews with our physicians and other members of the health care team. “This recognition is an assurance we have exceptional care here at the Mercy,” he said. “I am proud of all our employee partners. This is a milestone, not our final destination, as we continue our journey of fulfilling our mission to provide exceptional health care services resulting in healing in the broadest sense with all our heart and with all our mind.”

The Magnet Recognition Program® recognizes health care organizations for quality patient care, nursing excellence and innova-

tions in professional nursing practice. Research demonstrates that patients largely benefit from visiting a hospital with Magnet® status.

Magnet® hospitals report improved clinical outcomes, fewer patient falls, fewer medication errors, lower mortality rates, and higher patient and family satisfaction. Magnet® hospitals also tend to have lower nursing turnover and an improved nurse work environment.

“Magnet® recognition means our patients won’t just hear about Mercy Health System’s quality, they’ll experience it,” said Sue Ripsch, RN, Chief Nursing Officer for Mercy Health System. “Our nurses have proven they provide compassionate, expert care and are empowered to do what they know is right.”

The Magnet Recognition Program®, which is administered by the American Nurses Credentialing Center, is the largest and most prominent nurses credentialing organization in the world, and recognizes health care organizations that provide the very best in nursing care and professionalism in nursing practice. The Magnet Recognition Program® serves as the gold standard for nursing excellence and provides consumers with the ultimate benchmark for measuring quality of care.

For more information about the Magnet Recognition Program® and current statistics, visit. nursecredentialing.org/magnetn

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December • 2014

LeTTeR TO THe edITOR Hi Kaye and nurses, I wonder if you would be able to run a promotion for the Nurses Health Study 3, the newest version of the renowned longitudinal studies of lifestyle factors on women’s health? It is continuing to recruit female RNs, LPNs, and nursing students between the ages of 19 and 46; in addition, males of the same age range who are nurses or students are also eligible and invited to join the study for the first time. The goal is to recruit at least 100,000 women and 20,000 men. This study is entirely web-based. To learn more and to join, nurses can visit www.nhs3.org.

The commitment is fairly small - usually a questionnaire every 2 years - and it’s thrilling to know how that contribution translates into meaningful research results. The NHS and NHS II have been the largest, longest-running longitudinal studies of women’s health, yielding rich stores of data and results since 1976. I have been a member of the NHS II since 1989 (recruited while living in KY), and it has been an awesome experience. I could write an article describing my involvement, if you are interested.

Thanks so much, Kathy Bruning, MS, RN

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

Be part of something REMARKABLE •

Surgical Nursing at UW Health If you’re an experienced OR or PACU nurse, you’ll find remarkable opportunities at UW Health.

To inquire about surgical nursing opportunities at UW Hospital and Clinics, American Family Children’s Hospital and UW Health at The American Center (scheduled to open in August 2015), please contact Melissa Holman, senior nurse recruiter, at mholman2@uwhealth.org or 800-443-6164. Or visit uwhealth.org/careers to learn more.

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Nursingmatters

Ambulatory-care procedures to be developed Nurses and other clinicians at point-of-care and in competency management often use procedures software to record their observations in an objective way. But more and more, ambulatory-care nurses are caring for patients in a variety of diverse outpatient settings. Those nurses are becoming an increasingly important means of coordinating care and managing transitions as America searches for more cost-effective approaches to quality healthcare.

Because of that, Wolters Kluwer Health, a provider of information and point-of-care solutions for the healthcare industry, has entered into an agreement with the American Academy of Ambulatory Care Nursing to develop a new ambulatory-care-nursing category for the Lippincott Procedures brand of procedures software.

“Ambulatory-care nurses are vital in healthcare today because

they are well-suited to deliver costeffective, high-quality care,” said Marianne Sherman, MS, RN-BC, president of the academy. “By serving patients throughout the continuum of care and promoting better health, these nurses are meeting changing patient needs that result from the effects of the Affordable Care Act and higher-acuity levels in nonacute care settings. We are thrilled to work with Wolters Kluwer Health on Lippincott Procedures to help make this trusted resource become even better for nurses working in ambulatory care.”

The largest ambulatory-care nursing organization in the United States, American Academy of Ambulatory Care Nursing membership includes more than 3,000 registered nurses who work in outpatient settings. The new collaboration calls for the academy to write

and review 100 new ambulatorycare-nursing procedures, using experts culled from its membership. Once in place, these new procedures will help expand the use of

Lippincott Procedures in the growing area of outpatient healthcare.

They will become more useful to nurses who practice in settings continued on page 10

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december 2014 nursingmatters #10 in WCn series Editor’s Note: Many thanks to Yvonne Eide for sharing the wonderful work the staff and volunteers of the Wisconsin Center for Nursing have done for Wisconsin nurses. We will keep you posted on their future work.

Welcome to the 10th and final in a series of articles presented by the Wisconsin Center for Nursing on its 2013 report, “The Wisconsin Nursing Workforce: Status and Recommendations.” Each article concerns 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 organizations can take to address these issues to avoid a future nursing workforce shortage in the state.

Increase diversity of the Wisconsin nursing workforce Submitted by Yvonne Eide, MS, RN, Wisconsin Center for Nursing Board of Directors and Judith Hansen, MS, RN, Wisconsin Center for Nursing executive director

Institute of Medicine: diversity Diversity is an overarching recommendation within the report.

Diversity provides the key foundation for the nursing-workforce composition of the future, to align with population demographics and strive for inclusive excellence at regional, state and national levels.

Wisconsin Issue: The nursing workforce in Wisconsin does not mirror the diversity in the state population.

Currently the Registered Nurse workforce is 6.9 percent male and 6.4 percent racial/ethnic minorities.

Recommendations: • Emphasize diversity as a workforce priority and take a systemwide approach from the top down in each organization. Recruit and retain students, staff and nursing leaders from under-represented groups.

• Ensure funding and monitoring of progress through collaboration by academic and practice partners across all settings, including

accrediting bodies as well as private and public funders.

Strategies: • Provide a variety of support mechanisms for under-represented populations in both academic and practice settings including mentoring, coaching, student/employee resources, social networks for assimilation, and interdisciplinary collaboration.

• Prepare nursing staff and students to attain higher levels of cultural competency.

• Develop a standardized system with agreed-upon benchmarks for tracking data on under-represented populations in nursing programs and health systems throughout the state.

• Increase funding for nursing scholarships and loan-forgiveness programs for traditionally underrepresented populations.

• Implement recruitment strategies to achieve 20 percent males in the workforce by the 2020 benchmark, as recommended by the American Assembly of Men in Nursing.

A nursing workforce that is diverse, and reflective of the population it serves, contributes to improved patient satisfaction and health outcomes. Enhanced diversity within healthcare professions will provide greater capacity for the delivery of culturally competent and sensitive care (Sullivan Report, 2004). Greater diversity among all healthcare professionals not only increases access to care with enhanced choices for patients, but also achieves greater satisfaction with their care (Institute of Medicine, 2004).

Diversity in the workforce will strengthen cultural competency throughout healthcare delivery systems, and new challenges posed by changing demographics can be addressed by health professionals educated in culturally dynamic environments (Sullivan Report, 2004).

The Wisconsin nursing workforce lacks diversity in terms of gender, race and ethnicity on all levels, and these deficits exist across the state.

A diverse and inclusive workforce is paramount to the success of a 21st -century workforce. However Wisconsin lags behind both state and national averages. In 2012, the percentage of white nurses was 93.5 percent, with only 6.4 percent from racial/ethnic minorities, and only 6.9 percent males. Wisconsin Licensed Practical Nurses are slightly more racially diverse, but are even less likely to be male, with only 4.4 percent reported in 2013.

Encouraging data to mitigate the diversity imbalance comes from analysis of the “Wisconsin Center for Nursing 2012 Nursing Education Survey Report,” in which the diversity of Wisconsin students reflects the diversity of the general population. However, Wisconsin lags behind national data in the number of men in nursing programs. Males are consistently under-represented in all nursing programs in Wisconsin.

One system-wide approach to support workforce diversity is the “Inclusive Excellence” change model (Williams, Berger & McLendon, 2005). This sophisticated organizational model holds diversity as a core value for creating institutional excellence, and is being implemented to advance diversity, inclusion and equity throughout institutions of higher education across the country. The achievement of organizational excellence requires inclusion, and inclusion requires equality. This offers a viable organizational model to guide statewide implementation of the recommendations outlined by the Institute of Medicine Report and the 2012 Wisconsin Center for Nursing Diversity Taskforce.

The Diversity Taskforce examined strategies that promote nursing diversity through environmental scans of diversity initiatives within the state. The formal report, “Enhancing Diversity in the Nursing Workforce: A Report by the Wisconsin Center for Nursing Diversity Taskforce” (2013a), indicates that multiple nursing diver-

sity initiatives are taking place in Wisconsin. However, gaps could remain because of the absence of formalized approaches across the state, including the need for standardized diversity data collection. There has been an ongoing call-to-action for implementation of programs that eliminate barriers and provide longitudinal strategies across educational programs, within the clinical practice setting, and in leadership positions. These strategies are reinforced in recommendations found in “The Wisconsin Nursing Workforce: Status and Recommendations.”

Visit www.wicenterfornursing.org to download these and other reports.

Institute of Medicine. National Academy of Sciences. (2004). “In the nation’s compelling interest: Ensuring diversity in the healthcare workforce.” Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce. Board on Health Sciences Policy. Retrieved from www.nap.edu/catalog/10885.html Institute of Medicine. (2011).

“The Future of Nursing: Leading Change, Advancing Health.”

Washington, DC: The National Press. Retrieved from www.thefutureofnursing.org/IOM-Report Sullivan, L. (2004). “A Report of the Sullivan Commission on Diversity in the Healthcare Workforce. Missing persons: Minorities in the health professions.”

Retrieved from www.aacn.nche.edu/ media-relations/SullivanReport.pdf Williams, D. A., Berger, J. B., & McLendon, S. A. (2005). “Toward a model of inclusive excellence and change in postsecondary institutions.” Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download? doi=10.1.1.129.2597&rep=rep1&ty pe=pdf Wisconsin Center for Nursing Inc. (2014). “Wisconsin Nursing Education and Nurse Faculty: 2012 Survey Results.” Retrieved from www.wisconsincenterfornursing.org/wisconsin_education_surveys.html.n

December • 2014

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Nursingmatters

new tool will fight PTsd

By Nancy Hanrahanm PhD, RN, CS, FAAN

A military veteran commits suicide every 65 minutes each day. Almost half of returning military members have

trouble transitioning to civilian life.

Many do not seek help. Even those who do face huge obstacles. This is a major public health problem.

Of those who have spent time in a war zone – civilian or military – three out of 10 tend to develop Post Traumatic Stress Disorder. Members

Sue Hassmiller

AnA congratulates nurse champions SILVER SPRING, Maryland –The American Nurses Association congratulates the candidates elected in the 2014 midterm election who have proven to be advocates for a stronger healthcare system and improved patient care. Based on race outcomes to date, 85 percent of association’s Political Action Committee-endorsed candidates will be serving in the 114th Congress when it convenes in January 2015.

“These newly elected lawmakers support healthcare policies that ANA champions and recognize the important role nurses play in transforming the American healthcare system,” said association president Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. Those endorsed candidates elected to the U.S. House of Representatives include incumbents Greg Walden (R-OR-2), David Joyce (R-OH-14), Richard Hanna (R-NY-22), Jim McDermott (D-WA-07) and Lois Capps (D-CA-24), and newly elected representatives Gwen Graham (D-FL-02) and Norma Torres (D-CA-35).

There were also races won in the U.S. Senate by candidates who have a strong background in promoting healthcare and nursing issues. They include Jeff Merkley (D-OR), Al Franken (D-MN) and Susan Collins (R-ME). Currently there are 19 races where the outcome has yet to be determined. This includes five races with association-endorsed candidates. Association members look forward to working with lawmakers to affect positive change by advancing issues important to nurses, patients and the broader community.

The association’s Political Action Committee finalized its full slate of endorsed congressional candidates in October. Endorsement decisions were based on candidate interviews, communication with the association’s constituent and state nurses associations, campaign information, and the candidate’s voting record on priority issues.

The American Nurses Association is a full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The association advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying Congress and regulatory agencies on healthcare issues affecting nurses and the public. Visit www.nursingworld.org for more information.n

of the Marines and Army are four times more likely to develop PTSD. At least 20 percent of soldiers deployed in the past six years have PTSD; in the past year, the number of diagnosed cases has jumped by 50 percent. Those who served in Iraq are much more likely to suffer than those from the Afghanistan or Gulf wars. Of female military personnel, more than 70 percent develop PTSD. Nurses can have a significant impact on changing these disturbing numbers. Nurses are the largest and most trusted healthcare workforce, at 3.1 million, in every possible healthcare setting.

Jointly with the American Nurses Foundation, the University of Pennsylvania has developed a web-

based learning tool for all nurses to hone their skills at detecting Post Traumatic Stress Disorder symptoms, assessing and facilitating help-seeking behavior, and referring veterans to receive help as they transition to civilian life and/or, when indicated, to mental-health providers for treatment of PTSD. Nurses can help change the terrible problem of transition failure and suicides associated with veterans returning to civilian life. Visit www. nurseptsdtoolkit.org for more information. Complete the toolkit for use in educational programs or with nurses in any setting. Disseminate the website among colleagues.

Email Nancy Hanrahan at nancyp@nursing.upenn.edu with questions or comments.n

Ambulatory-care

momentum by helping us to further expand usage into the outpatient setting.”

The American Academy of Ambulatory Care Nursing is a welcoming, unifying community for registered nurses in all ambulatory-care settings. Founded 39 years ago, this specialtynursing organization’s mission is to advance the art and science of ambulatory-care nursing. The academy focuses on advancing practice and leadership skills of ambulatory-care nurses, fostering connections among registered nurses in similar roles and settings, and advocating for the specialty of ambulatory-care nursing.

Lippincott Procedures is a web-based nursing application for evidence-based-practice information used in hospitals and other healthcare institutions. It gives clinicians step-by-step guidance for more than 1,600 evidencebased procedures. Video clips and visuals accompany most of the procedures. Skills checklists and competency tests for each procedure are provided to help facilities verify staff competence.

Visit LippincottSolutions.com/ Procedures for more information.n

continued from page 8

such as hospitals with outpatient services, ambulatory-care centers, community-based settings, urgentcare clinics, home care, schools and workplaces.

In the past few years, Lippincott Procedures has expanded into several specialty areas, including physical therapy, respiratory therapy and long-term care. Once complete, this new set of ambulatory procedures will create a new category that follows the same familiar structure and format that nurses are accustomed to using already. The new procedures are expected to be available starting in January 2016.

“We have been focused on broadening the use of Lippincott Procedures to make it useful and applicable for entire health systems,” said Carolyn Dalton, senior digital product manager, Wolters Kluwer Health, Professional & Education. “They can standardize care, not just in the hospital, but also across their entire network. We recently added a new long-termcare nursing category, and now this new category continues that

Nursing Faculty

Contact Kaye Lillesand, editor of

Nursingmatters with news or events you would like to submit at 608-222-4774

Northcentral Technical College is THE place to be, not just for nice people and great surroundings, but also for providing career preparation in some of the fastest-growing fields. Our main campus is in Wausau, WI, with five regional campuses located in Antigo, Medford, Phillips, Spencer and Wittenberg. The full-time Associate Degree Nursing program faculty responsibilities will include theoretical and clinical instruction during the day and/or evening hours including travel to clinical sites within NTC’s district, and possibly the evaluation of existing modes of instruction, identifying alternative modes of delivery and barrier-free learning.

Qualifications include a Master’s degree in Nursing with 2 years (4,000 hours) of related work experience, possess a current Registered Nursing (RN) license in the State of WI, and possess a valid driver’s license. Salary range is commensurate with academic preparation and occupational experience.

CNA Faculty Instructor Be a part of fulfilling dreams on a daily basis at Northcentral Technical College (NTC) in Wausau, WI. Seeking qualified candidates to will provide instruction to Nursing Assistant students in theory, lab and clinical settings. Qualified candidates will have an Associate’s degree in Nursing, Bachelor’s degree preferred, and hold a current RN license in the State of WI with two years exp. as an RN, and at least one year as an RN in a long-term care facility.

Please apply online at: www.ntc.edu

or email klillesand@sbcglobal.net

Nursingmatters on Facebook Enjoy updates, find links and info about upcoming events & job listings, make comments & see photos from our events like the Nursingmatters Expo.

nursingmattersonline.com

NTC is an equal opportunity/equal access educator/employer.

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Nursingmatters

EXPO 2015

Nurses: Keeping America Healthy THURSDAY, FEB. 19 • 8:30 a.m.-3:30 p.m.

EXHIBITION HALL AT THE

ALLIANT ENERGY CENTER

SPECIAL SCREENING “The American Nurse” 10:00 a.m.

We are fortunate to be able to screen this important documentary which explores the role of nursing in the most vulnerable moments of the human experience. The film gives a voice to nurses who are on the front lines of the biggest issues facing America.

It has received nationwide accolades from the White House to the American Journal of Nursing and raves in national media (PBS NewsHour, NYTimes, USA Today)

The EXPO is free for nurses and nursing students and when you watch the film, you are eligible for continuing education credits. For the complimentary luncheon, please register at

nursinmgattersonline.com Complimentary luncheon sponsored by

MADISON, WI

BREAKOUT SESSIONS 2 p.m.

Judith Hansen, MS, BSN, RN Executive Director Wisconsin Center for Nursing

The Wisconsin Workforce: Pathway, Progress, and Potential This presentation will provide results from the 2014 implementing the IOM Future of Nursing Report in our state, and plans for the future.

Karen Klemp, MA, BSN, RN NICU nurse

Hope 2 Others Learn what drove Karen to the other side of the world, bringing Hope 2 Others, mothers desperate for their babies’ lives.

Margaret Schmelzer, MS, RN Chair, Prescription Drug Abuse Task Force Wisconsin Nurses Association

Addressing the Problem of Prescription Drug Abuse

While at Expo, be sure to visit the Exhibit Hall!

Employers – Shopping – Holistic Health – Education – Uniforms – Books – Chair Massage

EXHIBITORS

Blue River Chiropractic Cardinal Stritch University Coalition of Wisconsin Aging Groups College of St. Scholastica Easter Seals of Wisconsin

Edgewood College Group Health Cooperative of South Central WI Home Health United L’BRI Pure ‘n Natural Long Term Care Insurance Solutions LLC

Marian University Stoughton Hospital Uniforms Direct LLC UW Health UW School of Nursing Milwaukee Wildtree

Wisconsin Center for Nursing Wisconsin Department of Corrections Wisconsin Nurses Association And MORE . . .

Endorsed by

For information about exhibit space, contact Andrew Butzine, 608-252-6263, abutzine@madison.com